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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043527 Site Location: 6649 EMBARCADERO DRIVE Account ID: AR0044769 <br /> Receivedby: EE0000031 FLORIDO Received Date: 5/24/2017 Print Date: 7/122017 2:26:59PM <br /> Assigned To: EE0000031 FLORIDO Assigned Date: 5/24/2017 <br /> Pmaram/Element 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :TIMOTHY FONTAINE Home Phone : 209-951-1551 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT IS REPORTING THAT THERE IS AN OIL SHEEN IN THE WATER FROM A LEAKING PLEASURE CRAFT VESSEL PROPELLER OUT <br /> BOOMS AND ABSORBENTS APPLIED. <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 /> —_ _. - --_ ----------------------------------- <br /> I-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:GREG EBENHACK <br /> Site Location 6649 N EMBARCADERO RP/DBA <br /> STOCKTON,CA 95219 RP Address 3502 14 MILE DRIVE <br /> Cross Street STOCKTON,CA 95219 <br /> Billing Address 3502 14 MILE DRIVE <br /> Home Phone ;209-952-9791 <br /> Phone Work Phone <br /> District ; Location 01-STOCKTON <br /> APN 09815011 - <br /> Date Abated ^7/J Z4-7 Inspector ID#: L J <br /> Send Referral to Referral Letter Sent by <br /> Rerenal Address Date: <br /> Complaint Status Code: Q <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> <Z field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Program Enforcement Action Form <br /> omplaint Review Date: Updated by: D t <br /> 5104 mr <br />