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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00037131 Site Location: 3 E 11TH ST Account ID <br /> Received by EE0002646 TRAN Received Date: 10/14/2013 Print Date: 10/15/2013 11:54:26AM <br /> Assigned To: EE0002646 TRAN Assigned Date: 10/15/2013 <br /> Program/Element Code 2300-UNDERGROUND TANK PROGRAM <br /> Complainant <br /> <br /> <br /> Nature of com taint: <br /> r700 GAL FUEL LEAD GASOLINE TANK DISCOVERED UNDER SIDEWALK ALONG HOLLY ST <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-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Prupertq\arae: Responsible Party or Property Owner:LEVAND FAMILY TRUST <br /> Site Location 3 E 1 ITH RP/DBA PAULA LEVAND <br /> TRACY,CA 95376 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN 233369118 ,y, <br /> Date Abated D I►�I 13 Inspector ID#: T�y J <br /> Send Referral to ` Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01 -FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> I OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> /3-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Regired-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 />