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00r, a- Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000043432 Site Location: 6649 EMBARCADERO DR Account ID: <br /> Receivedby: EE0009001 MANZO Received Date: 5/8/2017 Print Date: 5/9/2017 2:05:38PM <br /> Assigned To: EE0000006 SAEED Assigned Date: 5/9/2017 <br /> Emoram/Element Code2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :NRC Home Phone 800-424-8802 <br /> Address : Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> AN UNKNOWN SHEEN HAS BEEN PRESENT SINCE 5/01/2017.THE SHEEN HAS IMPACTED 100 X 50 YARD WATER SURFACE.THERE IS A <br /> WATER TREATMENT PLANT APPROXIMATELY 200 YARDS AWAY AND IT COULD BE THE SOURCE OF THE SHEEN. <br /> Complaint Mode: M Complaint Matle 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 /> 1-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:VILLAGE WEST MARIINA Responsible Party or Property Owner:VILLAGE WEST MARINA <br /> Site Location 6649 EMBARCADERO RP/DBA VILLAGE WEST MARINA <br /> STOCKTON,CA RP Address 6649 EMBARCADERO DR <br /> Cross Street STOCKTON,CA <br /> Billing Address 6649 EMBARCADERO DR <br /> Home Phone <br /> Phone Work Phone <br /> Distend : Location Code <br /> APN <br /> Date Abated �^�r�J ` ------Ins/lectorlD#-� <br /> ——_—__——_ —_ _ ——— ———---------- <br /> Send <br /> -- --- —_Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0 i <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 011-Field Response-Violations Cited and Corrected 26-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 /> 06-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 Violation Tracking Form <br /> ompaintReviewed y: : / p ate y: ate: <br /> CN'AS /_771 <br /> 5104.rpt 47 <br />