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(� Complaint Investigation Form Report# 5104 <br /> COMPLAIN-MD: C00044224 Site Location: 2941 NAVY DR Accountio <br /> Receivedby: EE0000026 SEDRA Received Date: 9/8/2017 Print Date: 9/8/2017 9:43:26AM <br /> Assigned7o: EE0000031 FLORIDO Assigned Date: 9/8/2017 <br /> ProoramrElement ode:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :BRIANA EVANS.CAL OES Home Phone <br /> Address <br /> Work Phone <br /> MailAddress <br /> Nature of complaint: <br /> CONTROL#17-6540.UNKNOWN CAUSE FROM PUMP CAUSED A RELEASE OF 64 GALLONS OF ETHANOL.APPROXIMATELY 5-10 GALLONS <br /> OF ETHANOL WAS RELEASED FROM SECONDARY CONTAINMENT ONTO ASPHALT AND INTO SOIL.THE MATERIAL IS NO LONGER <br /> LEAKING.NO WATERWAYS OR STORM DRAINS WERE IMPACTED. <br /> Complaint Mode: I 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 /> _ -------------------------- <br /> I-Intemet/Email S-Sheriffs Office <br /> _______ <br /> ——————————————— — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RAY SMITH x5516 <br /> Site Location 2941 NAVY RP/DBA NEWSTARENERGY <br /> STOCKTON,CA 95206 RPAddress <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01 -STOCKTON <br /> APN NEAR 14502018 <br /> Date Abated i I ' 031 no I.1 Inspector ID#. 0031 , F I or i cto <br /> --------- ---- ------ ----------- --- <br /> Send Referral to Referral Letter Sent <br /> Referral Address Date: <br /> Complaint Status Code: Q I <br /> Circle appropriate Status Code <br /> 01 Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Retlerred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE If RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompatnt Reviewed bye: pate y: ate. 7 <br /> 5104.rpt l <br />