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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039039 Site Location: 3105 S EL DORADO ST Account ID. <br /> Receivedby: EE0001459 MCCARTNEY Received Date: 12/31/2014 Print Date: 12/31/2014 9:29:21AM <br /> Assigned To: EE0005642 HENRY Assigned Date: 12/31/2014 <br /> Program/Element Code 2300-UNDERGROUND TANK PROGRAM <br /> Complainant: ANON Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> NEWLY DISCOVERED UST <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 <br /> Site Location 3105 S EL DORADO RP/DBA CALIFORNIA TANK LINES <br /> STOCKTON,CA RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated `� I Inspector ID#: / �� <br /> Send Referral to J Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> OOFFICEABATED <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 pt <br />