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L� fi Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032691 Site Location: 430 W 11TH ST AccounrlD: <br /> Received by: EE0001421 RIVERA Received Date: 912912010 Print Date: 9/29/2010 3:10:06PM <br /> Assigned To: EE0001421 RIVERA- Assigned Date: 9/29/2010 <br /> I <br /> Program/Element Code:2546-GENERATOR RESPONSE I CLEAN UP <br /> Complainant: : <br /> <br /> <br /> <br /> Nature of complaint., <br /> F8 RIG HIT A CONCRETE PYLON IN PARKING LOT AND DAMAGED FUEL TANK. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-13d of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence 0-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> ----------------------------------------- ------------ <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner I <br /> Site Location 430 W 11TH RP/DBA FFE TRUCKING i <br /> TRACY,CA 95313 RP Address 11 <br /> Cross Streel WINDELER AVE i <br /> Billing Address ; <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 23504012 <br /> Date Abated /b/0 Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01- IELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 2-OFFICE ABATED 52-LEAD Abatement Regired-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-E=HD 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 /> I <br /> 5104.rpt <br />