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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042731 Site Location: 14700 W SCHULTE RD Account ID: AR0009022 <br /> Received by: EE0004636 BACKUS Received Date: 12/29/2016 Print Date: 8/16/2017 1 L 11:14AM <br /> Assigned To: EE0005642 HENRY Assigned Date: 1/3/2017 <br /> P1¢granySem nt Code:1900-HAZARDOUS MATERIALS PROGRAM <br /> Complainant: :CROFF BAKER Home Phone : 209-402-8530 <br /> Address : Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT STATES THAT THEY ARE WORKING WITH TRONA(SODA ASH)WASTE AFTER IT HAS BEEN USED TO FILTER FURNACE <br /> GASES USING AN ELECTROSTATIC PROCESS.COMPLAINANT STATES THAT THE COMPANY WILL NOT DISCLOSE THE WASTE <br /> PROPERTIES ORA SDS TO HIM.COMPLAINANT WANTS THIS INFORMATION TO KNOW THAT THE CORRECT PPE IS BEING USED. <br /> COMPLAINANT HAS BEEN WORKING WITH THE WASTE FOR SIX YEARS.THE SPENT SODA ASH IS FED BACK INTO THE MANUFACTURING <br /> PROCESS OR STORED ON SITE AND LABELED HAZARDOUS WASTE. COMPLAINANT STATES HE NOTIFIED OSHA ON 12-29-16. <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 /> kInternet/Email S-Shenffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> — --- ----- --- ---- --- ---- --_— ---- __-- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0006674-OWENS-BROCKWAY GLASS CONTAINER INC Owner: OW0005425-Owens-Illinois Inc <br /> Site Location 14700 W SCHULTE RD RPIDBA OWENS-BROCKWAY GLASS CONTAINER <br /> TRACY,CA 95376 RPAddress ONE MICHAEL OWENS WAY <br /> Cross Street LAMMERS RD PERRYSBURG,OH 43551--299 <br /> Mailing Address: 14700 W SCHULTE RD Billing Address One Michael Owens Way <br /> TRACY,CA 95376 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 <br /> Date Abated b Inspector ID A- <br /> ------------------------------------------------- <br /> - <br /> - — ---- --- --- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> �ffice Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 6 iolations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> Refferred to Other Agency 99-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 /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaint eviewe /) Updated l P Y ate - I <br /> 5104 rpt <br />