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Complaint Investigation Form Report#: 5106 <br /> COMPLAINT ID: C00021686 Site Location: 22261 S MOUNTAIN HOUSE PK1 Account ID. <br /> Receivedby: EE0000321 OLIVEIRA Received Date: 10/20/2004 <br /> Assigned To. EE0007380 SHIH Assigned Date: 10/20/2004 <br /> Location Code99-UNINCORPORATED AREA <br /> Program/Element Code 2300-UNDERGROUND TANK PROGRAM <br /> Nature of complaint: <br /> UST REMOVED BY BILL ENOS WITHOUT EHD APPROVAL. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-13d of Supervisors/City Ci C-Counter E-Code Enforcement <br /> M-Mail/Correspondent O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0003449-LUCKY J DAIRY 39-331 OW0002571 -KIMBROUGH, BRUCE&JOANN <br /> RP DBA:LUCKY J DAIRY <br /> Site Location: 22261 S MOUNTAIN HOUSE PKWY <br /> TRACY,CA 95304 RP Addressl 7529 W GRANT LINE RD <br /> TRACY,CA 95304 <br /> Mailing Address 17529 W GRANT LINE RD Billing Address17529 W GRANT LINE RD <br /> TRACY,CA 95304 TRACY, <br /> Phone 1st: 209-836-2035 Phone <br /> Wk: 209-836-2035 <br /> District 005-ELLIOTT, BOB Location: 99-UNINCORPORATED AREA <br /> APN 20906008 <br /> ** ** ** * * ** ** * * * * * * * * * * * * ABATEMENT SUMMARY * * * ** * * * * * *** * * * * * * * * ** <br /> Status Employee ID and Name Abatement Date <br /> 08 EE0007380-SHIH, STEVEN 10/27/2004 <br /> Abatement Status Codes <br /> 0I-Field Abated 08-Unable to Verify 15-ActmFUST CC4#wt-saeAclaeC�se# <br /> 02-Office Abated 10-POSTMSubstauxia<•dUmecured-SeeFbusingFile 28-KJC03CLIMRITNN —MNhjcrVdMcrskatified <br /> 03-NAI Sent I I-M ldple Complaints-See Active Case# 29•FOCEBal4�Y-IIII�S—N1 crVioWcrsIdatified <br /> 04-Notice to Abate Issued 12-DA Referred Corrplairt-See Violation Tracldng Form 5QIFADA mwst I1?ifarrel—MAlrtmut Pzgjrod <br /> 06-EHD Pemt Facility-See Linked Facility File 52IFADAIAnctPe med—SzeRTanPb=dFile <br /> 07-Referred to Other-Agency 99Uwnfied—Cld a tpiaut—Oigrul rrt ANaldie <br /> 5106.rpt <br />