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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: CORNGBBKR Site Location: 1630 E HAMMER LN. STOCKTON, CF Account ID <br /> Received by: EE0000031 FLORIDO Received Date: 9/25/2018 Print Date: 9/25/2018 8:51:02AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 9/25/2018 <br /> Program/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature of com /aint: <br /> COSTCO GAS STATION HAD A GASOLINE SPILL ON 9/22/18 DUE TO CUSTOMER ERROR.—1A GAL SPILL, <1/4 GAL ENTERED A STORM <br /> DRAIN.COSTCO ATTENDANT CLEANED SPILL FROM PAVEMENT, GENERATED ONE 55-GAL DRUM OF HAZARDOUS ABSORBENT&BOOM. <br /> PATRIOT ENVIRONMENTAL SERVICES CLEANED STORM DRAIN,GENERATED ONE 55-GAL DRUM OF LIQUID WASTE PENDING ANALYTICAL. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:COSTCO WHOLESALE CORPORATION <br /> Site Location 1630 E HAMMER RP/DBA COSTCO WHOLESALE CORPORATION <br /> STOCKTON.CA RPAddress 999 LAKE DR <br /> Cross Street ISSAQUAH,WA 98027 <br /> Billing Address 999 LAKE DR <br /> Home Phone :425-313-8100 <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated SC Inspector ID#: c <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> C01,-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1 -Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omplaint Reviewed by: Dat Updated by: a <br /> 5104.rpt <br />