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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00040176 Site Location: 315 E ELEVENTH ST Account ID.- : <br /> Receivedby: EE0000028 ALI <br /> Assigned To: EE0008709 DE LA ROSA Received Date: 8/11/2015 Print Date: 8/112015 9:39:34AM <br /> Assigned Date: 8/11/2015 <br /> EM lament Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :GARY JANE <br /> Address : Home Phone 209-321-3429 <br /> Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> APPEARS TO BE RADIATOR COOLANT,RUNUP TOA STORM DRAIN,CAN'T ESTIMATE THE AMOUNT. <br /> Complaint Mode: pA-A9 cY en Referral <br /> &Btl of Supervisors/City Council C-Counter F-Fax <br /> Complaint Mode Codes <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit <br /> P-Phone <br /> ——————___ — I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION -------------- -------------_--_ <br /> PROPERTY OWNER INFORMATION <br /> Property Name: <br /> Site LocationResponsible Party or Property Owner <br /> 315E ELEVENTH RP/DBA TRACY UNIFIED SCHOOL DISTRICT <br /> Cross Street TRACY,CA 95376 RPAddnsas <br /> Billing Address <br /> Phone <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB <br /> Location Code <br /> APN 23337010 <br /> Date Abated gl <br /> ---------- — <br /> ----__— --- <br /> SentlRekrrelto —— <br /> -----------------_ <br /> Relerra/Address Referral Letter Sent by <br /> Date: <br /> Complaint Status Code: O <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 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 <br /> 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED- <br /> Old Complaint-No Original Found <br /> CL-Case Closed <br /> OB-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 /> omp aint eviewe y: 1. ^ <br /> a e: u ' p ate y: <br /> 5104.rpt / at'? <br /> ./ <br />