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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042154 Site Location: 85 E LOUISE AVENUE Account ID: AR0043771 <br /> Receivedby: EE0002670 NAIDU Received Date: 8/31/2016 Print Date: 8/9/2017 4:38:20PM <br /> Assigned7o: EE0002670 NAIDU Assigned Date: 8/31/2016 <br /> PP Wgram/Ele ent Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :Sarah Samuels Home Phone <br /> Address : Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> 8 Ounce os gasoline spilled at disp#3 <br /> Complaint Mode: P Complaint Motle Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence 0-Other EH Unit P-Phone <br /> __ I-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name:Arco Responsible Party or Property Owner:ARCO PRODUCTS CO <br /> Site Location 85 F Louise RP/DBA <br /> LATHROP,CA RPAddress PO BOX 6549 <br /> Cross Street Harlan Road MORAGA,CA 94570 <br /> Billing Address PO BOX 6549 <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> ———Date Abated I ( I�,} Inspector/D#: <br /> — <br /> ------------------------------------ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date, <br /> Complaint Status Code: O I <br /> Circle appropriate Status Code <br /> 1 Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement RegiredSee Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Reffened 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-SEEACTIVE 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 /> omp amt Reviewed by: M ��n'– ate: /I Updated y: at <br /> 5104.rpt <br />