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Y Complaint Investigation Form Repoli# 5104 <br /> COMPLAINT ID: C00039237 Site Location: 4405 PACIFIC AVE Account ID: AR0013996 <br /> Receivedby: EE0000025 SEDRA Received Date: 2/17/2015 Prl Date: 2/17/2015 12:10:20PM <br /> Assigned To: EE0000005 ZAREEF Assigned Date 2/17/2015 <br /> Procram/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: :MARK CULP(MANAGER) Home Phone : 5]D-240-2529 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> (C)STATES HW IS BEING TAKEN OFF SITE AND DUMPED INTO RESIDENTIAL TRASH CANS OF OWNER AND EMPLOYEES.CALL(C)PRIOR <br /> TO GOING TO SITE SO HE CAN BE THERE TO TALK TO YOU. HIS WORKDAYS ARE MONDAY THRU THURSDAY 9-5. <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-Sherit's Office <br /> ------- - - - ----- ------------------------------ ---- <br /> FACILITY <br /> ------ - - - -- -- -- --------------------------- ---- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0007797-PACIFIC CAR WASH/MARKETPLACE INC Owner: OW0006442-PACIFIC CAR WASH/MARKETPLACE <br /> Site Location RPiDBA <br /> STOCKTON,CA 95207 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 002-MILLER,KATHERINE Location Code <br /> APN 11024013 p <br /> --- TDate Abated I 1 _'( ^ Inspector lD#: �a�e V.�• <br /> _——lit—————————————— — — — ___—— ——— <br /> Send Relema/to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01- IELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 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 Reglred-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-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 /> 51N4mt <br />