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v Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00034999 Site Location: 1444 LATHROP RD Account ID <br /> Received by: EE0002670 NAIDU Received Date: 5/22/2012 Print Date: 5/22/2012 9:14:36AM <br /> Assigned To EE0002670 NAIDU Assigned Date: 5/22/2012 <br /> Program/Element Code.2547-GENERATOR RESPONSE STANDBY <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> 300 GAL CHEMICAL SPILL(BROMAX)PH 13 DUE TO A FORKLIFT HITTING THE TOTE <br /> Complaint Mode: A 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 /> 1-1ntemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:UPS FREIGHT <br /> Site Location 1444 LATHROP RP/DBA UNITED PARCEL SERVICES <br /> LATHROP,CA 95330 RP Address 8400 PARDEE DR <br /> Cross Street OAKLAND,CA 94621 <br /> Billing Address 8400 PARDEE DR <br /> Home Phone <br /> Phone Work Phone <br /> District 003-BESTOLARIDES Location Code 07-LATHROP <br /> APN 19804004 <br /> Date Abated ' t Z Inspector ID A 9"r7a-f— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:—4—L <br /> y1 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> /oy-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 1002-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 111. 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />