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Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: 000042730 Site Location: 14700 W SCHULTE RD Account ID: AR0009022 <br /> Receivedby.: EE0004636 BACKUS Received Date: 12/29/2016 Print Date: 12/30/201610:08.09AM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 12/29/2016 <br /> Proorem/Elemeat Code:4200-LIQUID WASTE PROGRAM <br /> Complainant: :CROFF BAKER Home Phone 209-402-8530 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com /aint: <br /> COMPLAINANT ALLEGES THAT THE FACILITY HAS TEMPORARY SHOWERS.THE GREY WATER DISCHARGE IS GOING INTO A <br /> RECIRCULATED COOLING WATER RESERVOIR INSTEAD OF TO THE SEPTICISEWER SYSTEM. <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 EH Unit P-Phone <br /> I-Internet/Email S-Sherifrs Office <br /> - -- ----------- ---- ----- -------------- --- --- - - - - -- -- <br /> PROPERTY <br /> _ _-- --- - _ - - _- - <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0006674-OWENS-BROCKWAY GLASS CONTAINER INC Owner: OW0005425-Owens Illinois <br /> Site Location 14700 W SCHULTE RD RPiDBA OWENS-BROCKWAY GLASS CONTAINER <br /> TRACY,CA 95377 RP Address ONE MICHAEL OWENS WAY <br /> Cress Street LAMMERS RD PERRYSBURG,OH 43551-299 <br /> Mailing Address: 14700 W SCHULTE RD Billing Address One Michael Owens Way <br /> TRACY,CA 95377 Perrysburg,OH 43551-299 <br /> Home Phone :567-336-5000 <br /> Phone :209-836-8269 EXT: Work Phone :567-336-5000 EXT: <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 20924024 <br /> Date Abated Inspector ID#: t1.l7ri'S <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: af <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Field Response-Violations Cited and Corrected 26-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint 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 /> omp aintr Reviewed by. a e: Updatedy: atei / <br /> 5104 ry1 <br />