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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045477 Site Location: 4880 E PELTIER RD Account ID: <br /> Receivedby: EE0000040 JIMENEZ Received Date: 5/25/1991 Print Date: 1/19/2018 2:18:14PM <br /> Assigned To: E�E�010n090�753 NG Assigned Date: 1/19/2018 <br /> ProgramrEement Code rFyH,/V <br /> Complainant: :DENNIS FIELDS-OES Home Phone <br /> Address : Work Phone <br /> -Mail Atldress <br /> Nature of complaint: <br /> 600 GALLONS OF LIQUID AMMONIA SPILLED ONTO THE GROUND FROM AN ABOVE GROUND NURSE TANK. KASEY FOLEY RESPONDED TO <br /> EMERGANCY. <br /> Complaint Mode: A 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-Sheriffs.Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Properly Name: Responsible Party or Property Owner:COREY NORTON <br /> Site Location 4880 E PELTIER RPiDBA <br /> ACAMPO,CA 95220 RPAddress <br /> Cross Street <br /> Billing Address <br /> Home Phone 209-369-/006 <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 01704009 <br /> Date Abated r(�i-_L}_ra) Inspector ID#: 1AQ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:Q Q <br /> Circle appropriate Status Codel. 1 <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 /> 09-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-ReRerred to Other Agency99' 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 /> 20-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omplaint Reviewedy: ate' Updated by: ate: <br /> �•aa-�� 8'aa-l� ✓ <br /> 51d4.rpt <br />