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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042071 Site Location: Lower Sacramento Road 1/2 mile Nortf Amount ID.- <br /> Received by: EED002670 NAIDU Received Date: 8/16/2016 Print Date: <br /> 8/22/2016 1:59:12PM <br /> Assigned To: EE0002670 NAIDU Assigned Date: 8/16/2016 <br /> Program / nt <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> A 10"high pressure Natural Gas Transmission Line released unknown amount of gas due to a vehicle accident. <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/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Shenffs Office <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:PG&E <br /> Site Location Lower Sacramento Road RPiDBA Jessica Francine Sandoval <br /> WOODBRIDGE,CA RP Address 20518 N Hwy 99 <br /> Chow Street Woodbridge Road ACAMPO,CA <br /> Billing Address 20518 N Hwy 99 <br /> Home Phone <br /> Phone Work Phone <br /> District ; Location Code <br /> APN <br /> ———Date Abated �� 1 �L Inspector ID#: 7►T{/l <br /> - -------------------------------------- <br /> - — — — --- --- --- — <br /> Send Referral to <br /> 1Referral Sent --- ----- <br /> Referral Address <br /> Date: <br /> Complaint Status Code: D <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> �-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by: Date Updated by: <br /> ate: 7 <br /> 5104 rpt �" <br />