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Complaint Investigation Form Report#: 5104 <br /> CO LAINT ID: C00032225 Site Location: 9021 INDUSTRIAL DR Account ID: <br /> Receivedby: EE0008317 VON FLUE Received Date: 6/22/2010 Print Date: 6/23/2010 8:17:08AM <br /> 1 Assigned To: EE0008317 VON FLUE Assigned Date: 6/2312010 <br /> '.i <br /> Program/Element Code:2546-GENERATOR RESPONSE/CLEANUP <br /> i <br /> Complainant: :ROGER HOFFBALL, Home Phone ; <br /> Address :CORN PRODUCTS INTERNATIONAL IN Work Phone <br /> E-Mail Address <br /> Nature of com Taint: <br /> A DEL[VERY HOSE COUPLING CAME LOOSE, RELEASING WATER TREATMENT CHEMICAL(S)-(ph 1.8)ONTO ASPHALT. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit 0-Phone <br /> I-Internet l Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ROGER HUGGDAHL <br /> Site Location 1021 INDUSTRIAL RP/DBA CORN PRODUCTS INTERNATIONAL IN <br /> STOCKTON,CA 95206 RP Address 1021 INDUSTRIAL DR <br /> Cross Street STOCKTON,CA 95206-0129 <br /> Bitting Address 1021 INDUSTRIAL DR <br /> Nome Phone ; <br /> Phone Work Phone _ _ _ 233sW <br /> District 001 -VILLAPUDUA Location Code 01 -STOCKTON <br /> APN 17728014 <br /> Date Abated —7 -_� O Inspector: S 3 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:f 1 <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE ti <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104.rpt <br /> l <br />