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I� Complaint Investigation Form Report#: 5104 <br /> COMPLAINT Ilii: 000045285 Site Location: 3 S PACIFIC AVE Account lD: <br /> Receivedby: EE0000025 SEDRA Received Date: 12/15/2017 Print Date: 12/15/2017 8:4937AM <br /> Assigned To: EE0001421 RIVERA Assigned Date: 12/15/2017 <br /> Program/Element Ccde2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES ON 12/15/2017 AT APPROXIMATELY 5:00 AM A CONTAINER STORING CHEMICALS CAUGHT FIRE SOME OF THE <br /> CHEMICAL MIXTURE HAS GONE DOWN THE STORM DRAIN.SPILL CENTER REPORT NUMBER 17-8895. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Far <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> -------------------------------------- <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name:LODI UNIFIED SCHOOL DISTRICT Responsible Party or Property Owner:MITCH SLAYTER-DIRECTOR MAINTET <br /> Site Location 3 S PACIFIC RPIDBA LODI UNIFIED SCHOOL DISTRICT <br /> LODI,CA 95242 RP Address <br /> Cross Street HAM <br /> Billing Address <br /> Home Phone <br /> Phone : Work Phone : <br /> District 004-W INN,CHARLES Location Code 02-LODI <br /> APN 03511012 <br /> Date Abated t'i' I Inspector ID#: f <br /> —— —— —— <br /> Send Relemal to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified 53-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompalnt Reviewed Fy—. Update by: ate: /(y <br /> Sind ml <br />