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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00034390 Site Location: 3028 NAW DR AccountlD. <br /> Receivedby: EE0005642 HENRY Received Date: 11/30/2011 Print Date: 2/6/2013 11:47:15AM <br /> Assigned To: EE0005642 HENRY Assigned Date: 12/5/2011 <br /> Pmaram/Element Code:2546-Release Response Day <br /> Complainant: : KIRK LUND Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> RELEASE OF APPROXIMATELY 375 GALLONS OF AQUA AMMONIA INTO SECONDARY CONTAINMENT. OPERATOR ERROR. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-8d 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-Internet/Email S-Shedfrs Office <br /> — ———— <br /> - - ----------------------------------------- <br /> PROPERTY <br /> - -__— ----------- ------ ---- ----- -----PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 3028 NAVY RP/DBA PACIFIC ETHANOL STOCKTON LLC <br /> STOCKTON,CA 95206 RP Address 3028 NAVY DR <br /> Cross Street WASHINGTON AVE STOCKTON,CA 95206 <br /> Billing Address 3028 NAVY DR <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA Location Code 01-STOCKTON <br /> APN 14502008 <br /> Date Abated b''I ' I Inspector ID#. �` <br /> ----- ----------------------------------- <br /> Send <br /> —___------ _—Send Referral to Referral Letter Sent by <br /> Refena/Address Date: <br /> Complaint Status Code: 91 <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br />