Laserfiche WebLink
Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000031783 Site Location: 1950 ELVENTH ST Account 1D: AR0021659 <br /> Received by: EE0002670 NAIDU Received Date: 3/26/2010 Print Date: 3/31/2010 1:00:32PM <br /> Assigned To: EE0002670 NAIDU Assigned Date: 3/26/2010 <br /> Program/Element Code, 546-GENERATOR RESPONSE/CLEAN UP <br /> Complainant: : <br /> <br /> <br /> Nature of com laint. <br /> 2.5 GAL GASOLINE SPILL. <br /> Complaint Made: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION j <br /> I <br /> Facility:FA0012914-SAFEWAY GAS STATION PAD Owner: OW0010089-PARADIS,TODD <br /> Site Location 1950 W 11TH ST RP/DBA SAFEWAY GAS STATION PAD(PROPO <br /> TRACY,CA 95376 RP Address 5918 STONERIDGE MALL RD <br /> Cross Street CORRAL HOLLOW PLEASANTON,CA 94588-3229 <br /> Mailing Address: 5918 STONERIDGE MALL RD Billing Address 5918 STONERIDGE MALL RD <br /> PLEASANTON,CA 94588-3229 PLEASANTON,CA 94588-3229 <br /> Home Phone :925-467-2478 <br /> Phone :925-467-2078 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 23402010 <br /> Date Abated � Z6 �� Inspector 26'7 O <br /> l <br /> Send Referraf to Referral Letter Sent by <br /> Referral Address Date: <br /> 1 <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01- IELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement RegiredSee 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-EHO FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 /> 51114/1 1 <br />