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03v �9' Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00044805 Site Location: 3028 NAW DR Account ID: <br /> Receivedby: EE0000036 HERNANDEZ Received Date: 10/23/2017 Print Date: 10/232017 2:45:03PM <br /> Assigned To: EE0000031 FLORIDO Assigned Date: 10/23/2017 <br /> ProoramrElement Code:2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: :JORDAN CAIN-PACIFIC ETHANOL Home Phone 209-851-4077 <br /> Address : Work Phone <br /> -Mail Address <br /> Nature of com lalnt: <br /> 1,000 GALLON OF CORN OIL SPILL.IN PROCESS OF CLEAN UP.NO IMPACT TO WATER WAY. <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/Comespondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Once <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: ,.. Responsible Parry or Property Owner <br /> Site Location 3028 NAVY RP/DBA <br /> STOCKTON,CA 95203 RPAddmss <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14502018 <br /> Date Abated 11 /2-1 /U 1-1 Inspector ID#: 00 7J 1 •' F for I CA-0 <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> 01- laid Response-Violations Cited and Corrected 50-LEAD Assessment Perfonned-No Abatement Required <br /> -Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations 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 Venfy 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 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 /> ompainlReviewed y: a pate y: ate: <br /> 5104.rpt <br />