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1 <br /> Complaint Investigation'Form Report#:5104 <br /> COMPLAINT ID: C00032410 Site Location: 1320 W 11TH ST Account ID: AR0002751 � <br /> Received by: EE0009488 WONG Received Date: 8/2/2010 Print Date: 8/3/2010 8:37:38AM <br /> Assigned To: EE0009488 WONG Assigned Date: 8/3/2010 <br /> am/Element Code:2546-GENERATOR RESPONSE I CLEAN UP <br /> Complainant: : <br /> <br /> <br /> Nature of complaint. _ <br /> PGE INFORME7`EHD AT AROUND 2:30 PM THAT APPROXIMATELY 112 GALLON OF MINERAL OIL SPILLED FROM A TRANSFORMER AT THE <br /> ABOVE FACILITY,SOME OF THE OIL IMPACTED THE SOIL NEAR THE CONCRETE PAD. <br /> Complaint Node: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C Counter F-Fax <br /> E-Code Enforcement M-Mail f Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003183-99 CENTS ONLY S'P'ORES 4185 Owner: OW0010964-99 CENTS ONLY STORES � <br /> Site Location 1320 W I ITH ST RP/DBA <br /> TRACY,CA 95376 RP Address 4000 UNION PACIFIC AVE <br /> Cross Street COMMERCE,CA 90023 <br /> Mailing Address: 4000 E UNION PACIFIC AVE Billing Address 4000 UNION PACIFIC AVE <br /> COMMERCE,CA 90023 COMMERCE,CA 90023 <br /> Nome Phone :323-980-8145 <br /> Phone :209.939-9619 Work Phone <br /> 1 <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 23405008 ! � <br /> Date Abated ah <br /> r Inspector- <br /> Send <br /> V <br /> Send Referral to Referral Letternt by <br /> Referral Address. Date: <br /> r <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECU RED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> a <br /> I <br /> I <br /> 5/1 ,p, <br />