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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039843 Site Location: 17100 HARLAN RD Account ID. AR0000209 <br /> Receivetl6y: EE0009001 MANZO <br /> Received Date: 6/11/2015 Print Date: 6/122015 2:45:55PM <br /> Assigned To: EE0009001 MANZO Assigned Date: 6/11/2015 <br /> Prooram/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :MICHAEL PARISSI Home Phone 209-9824800 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> 20-GALLON ADHESIVE SPILL WAS DISCOVERED INSIDE THE FACILITY DURING INSPECTION. <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-Intemet/Email S-Sheriff's Office <br /> ------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000210-CARPENTER CO Owner: OW0000170-CARPENTER CO <br /> Site Location 17100 S HARLAN RD RPiDBA CARPENTER CO <br /> LATHROP,CA 95330 RP Address 17100 S HARLAN RD <br /> Cross Street HARLAN LATHROP,CA 95330 <br /> Mailing Address: PO BOX 279 Billing Address PO BOX 279 <br /> LATHROP,CA 95330-027 LATHROP,CA 95330..027 <br /> Home Phone <br /> Phone :209-9824800 EXT: Work Phone !u9-91;248uu Ext: <br /> District 003-BESTOLARmES,STEVE Location Code <br /> APN 19812004 <br /> Date Abated -_ ------------------------------Ins ctor IO G n n l� <br /> --_------ --- #: lam"'' <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> V <br /> Complaint Status Coder <br /> Circle appropriate Status Code _ <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 FIELD ABATED 2B-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 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 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-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 /> ompaml Reviewed by: pdated by: ate: <br /> 5104.rpt <br />