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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039923 Site Location: 17100 S HARLAN RD Account/D: <br /> Received by: EE0000027 VO Received Date: 6/24/2015 Print Date: 6/25/2015 9:10:03AM <br /> Assigned To: EE0000027 VO Assigned Date: 6/24/2015 <br /> Pmgram/E/ement Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :MIKE PARISSI Home Phone <br /> Address : 17100 S HARLAN RD Work Phone <br /> LATHROP.CA 95330 E-Mail Address <br /> Nature ofcomplaint: <br /> A SPILL OF 2 GALLONS OF RICHADH ADHESIVE ONTO THE GROUND.THE RESPONSIBLE PARTY THINKS IT MAY BE DUE TO A FAULTY <br /> SPRAY VALVE. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriff's Office <br /> ------------------ ------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:CARPENTER CO. Responsible Party or Property Owner MICHAEL PARISSI <br /> Site Location 17100 S HARLAN RPA7BA <br /> LATHROP,CA 95330 RP Address 17100 S HARLAN RD <br /> Cmss Street LATHROP,CA 95330 <br /> Billing Address 17100 S HARLAN RD <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN 1. <br /> Date Abated 13I-L4 I it K Inspector ID JD T00 v <br /> ----------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code l <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 29-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 /> omplaintReviewed by. /a/{e Pate Y: ate: <br /> 5104.rP1 \-/ / D�1,S, <br />