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Complaint Investigation Form <br /> Report#.5104 <br /> COMPLAINT ID: C00040500 Site Location: 1820 PENNY BAKER WAY <br /> Account ID: <br /> Received Date: 10/12/2015 Print Date: 10/12/2015 9:41:1 IAM <br /> Reoeivedby: EE0000028 ALI <br /> Assigned To: EE0000006 SAEED Assigned Date: 10/12/2015 <br /> ProararMPlem nt Co02546-Release/Spill Response(excluding Joint Team) Home Phone 209-337-8902 <br /> Complainant: :ALEX STEELE Work Phone <br /> Address :PG&E E-Mail Address <br /> Nature of complaint: <br /> MINERAL OIL SPILL,APPROXIMATELY 15 GALLONS. IT HAS NOT BEEN CLEANED YET.CLEAN UP WILL START LATER TODAY 10/12115 B <br /> WON'T BE DONE UNTIL LATER THIS WEEK. <br /> : <br /> Complaint Mode Cotles A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> Complaint ModeP <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P- one <br /> I-Intemet/Email S-Shenfts Office <br /> ——— <br /> ------- ---- ------------————————————————— <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:YOSEMITE NEW HORIZONS LP <br /> She Location 1820 BAd4bR cCLY�E�-tFe-d� �K�( RPIDBA <br /> MANTECA,CA 95336 RP Address 1420 S MILLS AVE,STE M <br /> Cross Street LODI,CA 95242 <br /> Billing Address 1420 S MILLS AVE,STE M <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code 04-MANTECA <br /> APN 20831014 <br /> Date Abated j,0 z,-z- Inspector ID#: <br /> -------- -------------------------- <br /> Send <br /> - -_—_-- _— —__— <br /> Send Referral to Referral Letter Sent by <br /> Refen it Address Date: <br /> Complaint Status Code: d ` <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> OFIELD 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 /> 52-LEAD Abatement Regired-See Program Record File <br /> 04-NOTICE TO ABATE ISSUED <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 /> W-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ate r <br /> ompamt eviewe y: <br /> ale'. Pate Y' <br /> 5104 rpt <br />