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Complaint Investigation Form Report#:5104 <br /> *COMPLAINT ID: C00020589 Site Location: 423 N MADISON AVE AccountlD: <br /> Receivedby: EE0008373 JACKSON Received Date: 3/30/2004 Print Date: 4/1/2004 9:50:37AM <br /> Assigned To: EE0008373 JACKSON Assigned Date: 3/30/2004 <br /> Program/Element Code 2300-UNDERGROUND TANK PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint <br /> EFT DIAMETER BY 4'HEIGHT TANK DISCOVERED 4'BENEATH SOIL.TANK HAS NO LID AND IS FILLED WITH HYDROCARBON SMELLING <br /> LIQUID AND SOIL.A SMALL LEAK IS @ THE BOTTOM 3 112 FEET FROM TOP OF TANK.LIQUID IS SEEN FLOWING FROM THIS LEAK. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------------- <br /> PROPERTY <br /> ------ ---- ---- ---- ----PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Parry or Property ismer I <br /> Site Location 423 N MADISON RP/DBA G f 4C, <br /> STOCKTON,CA RPAddress <br /> F C �drr <br /> I <br /> Billing Address Y J y ` ` _ 'A <br /> ` Z-07- <br /> Home Phone V <br /> Phone Work Phone <br /> District Location Code 1 <br /> APN <br /> Date Abated t ! ? 0 Inspector. <br /> -- <br /> ---- — 777 _..----- --------- ,r ,.. _._ ._..—_ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: q <br /> '1 <br /> Circle appropriate Status Code <br /> i <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) ` <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD.HAZ WORK PLAN SUBMITTED(2) rE <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> o � m <br /> 5104.rpt I <br />