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Complaint Investigation Form Report#:5104 <br /> CO^v PLAINT C00037502 Site Location: HARNEY LN Account ID. <br /> Receivedby: EE0009488 WONG Received Date: 1/27/2014 Print Date: 1/27/2014 9:05.09AM <br /> Assigned To: EE0009488 WONG Assigned Date: 1/27/2014 <br /> Aram/Element Code:2546-Release Response Day <br /> Complainant: :JEFFREY WONG Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> HYDRAULIC FLUID SPILLED FROM BROKEN LINE OF P G&E EQUIPMENT. <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-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ALEX STEELE(P G&E) <br /> Site Location HARNEY RP/DBA PG&E <br /> LODI,CA RP Address 1 108 MURPHYS GRADE RD <br /> Cross Street ATKINS ANGELS CAMP,CA <br /> Billing Address 1 108 MURPHYS GRADE RD <br /> Home Phone :209-337-8902 <br /> Phone Work Phone 209-73(,0426 <br /> District Location Code <br /> APN <br /> Date Abatedf l Z O (� Inspector/D#: W L, <br /> Send Referral to r Referral Letter Sent by <br /> w Referral Address Date: <br /> Complaint Status Code: I <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01 IF'.D ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-Nf J SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NGTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-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 /> 5104 rpt <br />