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CaIEPA Environmental Complaint Form- <br /> Complaint Information for Referral <br /> Complaint Information: <br /> Complaint Number: COMP-11668 <br /> Date and time of occurrence: Spill? ❑ <br /> On-going Occurrence:® Tribal Complaint: ❑ <br /> Referring Agency: U.S.EPA,Region 9 EJ Complaint: ❑ <br /> Referring Name:John Schofield Refinery: ❑ <br /> Referring Email Address:schofield.john@epa.gov <br /> Complainant Information: Anonymous Submission: <br /> <br /> <br /> <br /> <br /> If you previously submitted this complaint,please indicate the organization(s)you contacted: <br /> Complaint Location Information: Alleged Responsible Party: <br /> Location Description: Name: <br /> Latitude:37.7597966 Company:Scanlon Sportsman Club <br /> Longitude: -120.9993013 Phone: <br /> Location Address:25195 East River Road Street:25195 East River Road <br /> Location City: Escolon City: Escalon <br /> Location County:San Joaquin County Zip Code:95320 <br /> Location Zip Code:95320 State: California <br /> Complaint Description: <br /> Shooting range. Lead in the canal and orchards. <br /> Page 1 of 2 <br />