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0!..i 1 , 1rd T ,i � ! ?:.. 1 iEAI_i s-i -E:.,�T r oeport 15104 <br /> AR0 LPage it 1 <br /> 1+ 01 -t 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0008917 Program/Element 2546 <br /> Taker. by 9051_ 05ULL'_tA?< Date C9!02719-1 Assigned to • 0606 TREVENA Date: 09!02,19, <br /> Facility Name Fac ID: <br /> RILL to inventoried FACILITY: <br /> Location I IJER S f":Vi F'D ...._LOC: {Must have FACILITY ID#) <br /> <br /> <br /> :: <br /> FACILITY LOCATION/Property Info — <br /> f!::iris Loc Code <br /> Add,-ems:;- BOS Dist r <br /> APN # <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> 1\1arfe : Home Phone <br /> .......... .............. ..... <br /> Add- Work Phone: <br /> City - <br /> Natu:e cf Complaint: <br /> BACKHOLE DIGGING UP OLD GAS TANK NO PERMIT . COMPLAINANT CONCERNED TANK <br /> %VILL BLOW UP AND IS THE SOIL SAFE . <br /> COMPLAINT Info — <br /> "MPtAINT MODE, P!0N <br /> pefe--; R-an OF Slipervisors!City Ccouncil C-Counter M-Mail!Correspondence <br /> ^'_-Field Abated Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> tc P��emi=e Fire O?-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Refer-val Lut.te'i Sent by - �.— Date : <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> =cr.ga del .o !"NIT, ' 11 `er Investigation <br />