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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C040YKUY4 Site Location: 808 S. Cherokee Rd., Lodi Account ID: AR0043406 <br /> Received by.: EE0001421 RIVERA Received Date: 5/11/2016 Print Date.: 8/9/2017 10:53:15AM <br /> Assigned7o: EE0001421 RIVERA Assigned Date: 5/11/2016 <br /> EmateniEtement COUC2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> <br /> Nature of complaint: <br /> Used oil leaked onto the ground and out into the street <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sherifrs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:Prolube Oil Responsible Party or Property Owner <br /> Site Location 808 S Cherokee RP/DBA PROLUBE OIL <br /> LODI,CA RPAddress PO BOX 235 <br /> Cross Street Kettleman Ln. CATHEYS VALLEY,CA 95306 <br /> Billing Address PO BOX 235 <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated Inspector ID#. <br /> ---------—————— ———— ——-------------------------- <br /> Send <br /> -------------- <br /> Send Referral to Referral Letter Sent by <br /> ReferralAddress ^`� Date: <br /> Complaint Status Code:v/ <br /> Circle appropriate Status Code <br /> 01-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-Pennit 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 /> omp aint Reviewedy <br /> Pate Y <br /> 5104.rpt <br />