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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00038994 Site Location: 2431 S MARIPOSA RD Account ID: <br /> Received by: EE0009001 MANZO Received Date: 12/19/2014 Print Date: 12/19/2014 8:18:15AM <br /> Assigned To. EE0009001 MANZO Assigned Date: 12/19/2014 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant. <br /> <br /> <br /> Nature of com taint: <br /> RAIN WATER IN AN UST RESULTED IN OVER FLOW OF APPROXIMATELY 300 GALLONS OF MOTOR OIL ONTO THE GROUND, <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-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ATI N:SCOTT WALLER <br /> Site Location 2431 S MARIPOSA RP/DBA RP:CALTRANS <br /> STOCKTON,CA 95215 RP Address PO BOX 2048 <br /> Cross Street STOCKTON,CA 95201 <br /> T: Billing Address PO BOX 2048 <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated 3, Cw) 6 Inspector ID#: Q �� <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> t/V <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-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 /> EHD FACILITY-see Linked PROGRAM FACILITY FILE 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 />