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T, I <br /> Complaint Investigation Form Rei 5104 <br /> COMPLAINT ID: C00032262 Silte'Loil ion: 3310 E MINER AVE Account ID: : <br /> Received by: EE0004636 BACKUS Received Date: 6/28/2010 Pfint Date: 6/29/2010 2:33:06PM <br /> Assigned To: EE0004636 BACKUS Assigned Date: 6129/2010 <br /> ProaranVElement Code 2546-GENERATOR RESPONSE/CLEAN UP <br /> <br /> <br /> <br /> !Nature of com laint: <br /> 200-GALLONS DIESEL SPILLED FROM BROKEN HOSE ONTO CRACKED CHIP SEAL. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property!Name: Responsible Party or Property Owner: <br /> Site Location 3310E MINER RP/DBA <br /> Cross Street <br /> STOCKTON,CA 95205 RPAddress PO BOXW3< d ii 6+t3 <br /> Billing Address pQ438. <br /> PO t30y, <br /> Nome Phone : <br /> Phone Work Phone ,, 'p„ i <br /> District 001 -VILLAPUDUA Location Code 99-UNINCORPORATED AREA <br /> APN 14339005 <br /> Date Abated ?' g Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint History <br /> Complaint Status Code: Arched But Not i <br /> Scanned <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Ciosed <br /> 07-REFERRED TO OTHER AGENCY <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 /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> r <br /> 5104.rpt <br />