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= Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039730 Site Location: 25705 PATTERSON PASS RD Account ID: : <br /> Receivedby: EE0009001 MANZO Received Date: 5/25/2015 Print Date: 5/26/2015 1:11:03PM <br /> Assigned To: EE0009001 MANZO Assigned Date: 5/25/2015 <br /> ProaramrElement Code.2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> RELEASE OF APPROXIMATELY 50 GALLONS OF CRUDE OIL ONTO THE GROUND DUE TO PUMP(S)FIRE. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet I Email S-Sheriffs Office <br /> --------------------------------- ---------- <br /> PROPERTY <br /> --- ------------ -- —_ — ---PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 25705 S PATTERSON PASS RP/DBA SHELL PIPELINE COMPANY LLC <br /> TRACY,CA 95377 RP Address 25705 S PATTERSON PASS RD <br /> Cross Street TRACY,CA <br /> Billing Address 25705 S PATTERSON PASS RD <br /> Home Phone ; <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated '� .5 ao 1:Ir Inspector ID#: <br /> ------------------------------------------------ <br /> Send Referral to Sh(?Q;�fl Referral Letter Sent by r (fit�A--f <br /> Referral Address Date: , , `� <br /> eovd-Okfa , cA Gs1011­1 <br /> Complaint Status Code: n']i <br /> Circle appropriate Status Code <br /> SoU <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 Regired-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 /> (:07DREFERRED 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 /> omp amteviewe ate: . Update y: ate. <br /> �a Ma: 5- <br /> 5104.rpt <br />