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r Complaint Investigation Form • Report#:5106 <br /> COMPLAINT ID: C00022120 Site Location: 10878 N HWY 99 Account ID. <br /> Receivedby: EE0003580 LE Received Date: 1/3/2005 <br /> Assigned To: EE0003580 LE Assigned Date: 1/21/2005 <br /> Proorem/Flement Code 2300-UNDERGROUND TANK PROGRAM Location Code99-UNINCORPORATED AREA <br /> Nature of complaint: <br /> RECEIVED FALSIFIED TEST RESULTS FOR DESIGNATED OPERATOR. <br /> Complaint Mode Q Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City G C-Counter E-Code Enforcement <br /> M-Mail/Correspondent O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001146-MORADA CHEVRON FAST N EASY#60* OW0000885-ALI,ASHRAF <br /> RP DBAWORADA CHEVRON FAST N EASY#60 <br /> Site Location: 10878 N HWY 99 E <br /> STOCKTON,CA 95212 RP Address20 TWELVE OAKS DR <br /> PLEASANTON, CA 94566 <br /> Mailing Address 5000 E 2ND ST STE G Billing Address5000 E 2ND ST STE G <br /> BENICIA,CA 94510-1019 BENICIA, <br /> Phone 1st: 209-931-6154 Phone Hm: 925-998-7299 <br /> Wk: 209-931-6154 <br /> Distract 004-VOGEL, KEN Location: 99-UNINCORPORATED AREA <br /> APN 08607002 <br /> xxxxxxxxxxxxxxxxxxxxxxxx ABATEMENT SUMMARY xxxxxxxxxxxxxxxxxxxxxxx <br /> Status Employee ID and Name Abatement Date <br /> 06 EE0003580-LE, MICHELLE 1/25/2005 <br /> Abatement Stahl Codes <br /> 01-Field Abated 081)iableto Verify 15-Active Flxs ngCChse-N wCrnQlaurt-See Active Case# <br /> 02-Office Alerted 10-POSHD Silatar�ecued-See Howi%Fde 28TO0030JRIE MLNESS-1,b Nhjor Violations lderitified <br /> 03-M Sent I 1-NLltiple Cor platnls-See Active Case# 29-FOODBCU PE UII SS—Nlsjor Violatiam ldcmfied <br /> 041,otice to Abate Issued 12-DA Reined Carplair8-See Violation TIrwIdT FerrrWEADAssess at Ferkmed—No Abatertart Required <br /> OGEHD Pertrrit Facih See Lirrked Faclh File See <br /> ile <br /> 07-Rektred to Otha AWncy �0��C(a Gxrplaint Cr ginal�arn RAec�a.able <br /> 5106.rpt <br />