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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00044732 Site Location: 3028 NAVY DR Account 1D: <br /> Received by: EE0000012 MARTORELLA Received Date: 10/11/2017 Print Date: 10/11/2017 11:28:51AM <br /> Assigned To: EE0000016 HO Assigned Date: 10/11/2017 <br /> Proomm/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :JORDAN CAIN W/PACIFIC ETHANOL STOCKTON Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> RELEASE OCCURRED AT 10:15AM ON OCTOBER 11.APPROXIMATELY FIVE(5)GALLONS OF CORN OIL RELEASED FROM CONTAINER.NO <br /> WATERWAYS IMPACTED.CONTAINED AND CLEANED UP BY STAFF ONSITE. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bol of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemel/Email 5-Sherfrs Office <br /> - - -------------------------- <br /> PROPERTY <br /> — — --------------- — ---PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 3028 NAVY RP/DBA <br /> STOCKTON,CA 95206 RP Address <br /> Cross Street WASHINGTON <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 1450201 I,r <br /> Date Abated to 11T Inspector lD#: )%ED�0ozI VP <br /> ______ __ ___----------------------------- <br /> Send <br /> ___ —_—_—_Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O'/ <br /> Circle appropriate Status Code Oz- <br /> Circle <br /> Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> ceResponse Only 52-LEAD Abatement Regired-See Program Record File <br /> iolations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred 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# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form 51-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTNE CASE It 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 /> omp ain[Reviewed y: <br /> { p ate Y Data <br /> 5104rpt <br />