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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000038241 Site Location: 1990 PICCOLI RD Account to: AR0003414 <br /> Receivedby: EE0001421 RIVERA Received Date: 7/15/2014 PrintDate: 7/15/2014 10:22:33AM <br /> Assigned To: EE0001421 RIVERA Assigned Date: 7/15/2014 <br /> ProaramiElement Code2546-Release Response Day <br /> Complainant: :RICCO RAMIREZ-CITY OF STOCKTON Home Phone <br /> Address Work Phone :209-937-8282 <br /> -Mail Address <br /> Nature of complaint: <br /> DISCHARGE OF 5-10 GALLONS OF OILY-LIQUID OVERFLOWED FROM OIL-WATER SEPARATOR INTO ADJACENT STORM DRAIN. <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 EHUnit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003826-UNIFIED GROCERS INC Owner: OW0002834-UNIFIED GROCERS INC <br /> Site Location 1990 N PICCOLI RD RP/DBA UNIFIED GROCERS INC <br /> Stockton,CA 95215 RP Address PO BOX 135 <br /> Cross Street PICCOLI STOCKTON,CA 95201 <br /> Mailing Address: 5200 SHEILA STREET Billing Address 5200 SHEILA STREET <br /> COMMERCE,CA 90040 COMMERCE,CA 90040-0 <br /> Home Phone 209-931-1990 <br /> Phone :209-931-9440 EXT: Work Phone :323-2645200 EXT: <br /> District 004-VOGEL,KEN Location Code <br /> APN 10121001 <br /> Date Abated 2 <br /> 0 4 -7 Inspector ID#.' <br /> — ———————————— —— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address : <br /> Date <br /> Complaint Status Code: //1/1 <br /> Circle appropriate Status Code L1_ <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> Ot- IELD 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 /> 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 /> 5QPas 17 <br /> 5104.rpt <br />