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Complaint Investigation Form Report#:5104 <br /> COMPLAIN ID: C00035474 Site Location: BYRON RD Account ID: <br /> Receive by: EE0001422 CACAPIT Received Date: 9/14/2012 <br /> Print Date: 9/17/2012 8:58:19AM <br /> Assigned To: EE0001422 CACAPIT Assigned Date: 9/17/2012 <br /> P--c-M Element Code'2546-Spill Response Day <br /> Complainant: :SAM GUITERREZ Nome Phone <br /> Address <br /> Work Phone 209-969-1632 <br /> Mail Address <br /> Nature of complaint: <br /> CAR HIT A PG&E POLE.TRANSFORMER SPILLED APPROX 8 GALLONS OF MINERAL OIL <br /> Complaint Mode., P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ALEX STEELE <br /> Site Location BYRON RP/DHA PG&E <br /> TRACY,CA 95304 RP Address 1108 MURPHY GRADE RD <br /> Cross Street VON SISTEN ANGELS CAMP,CA 95222--961 <br /> Billing Address 1108 MURPHY GRADE RD <br /> Home Phone :209-337-8902 <br /> Phone Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Data Abated 9 <br /> 4, Inspector ID#t: Ar, <br /> Z <br /> Send Referral to h� Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:tJ 1 <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01 FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT sae ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> o5-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br />