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- Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000021521 Site Location: 161 E TRANSPORTATION CT <br /> Account!D: AR0017390 <br /> Print Date: 9/23/2004 9:14:53AM # <br /> Receiv - Received Date: 9/21/2004 r <br /> Assigned To: EE0000942 OR 10 Assigned Date:- 9/21/2004 <br /> Pro ram/Element Code 3-000-UNDERGROUND INJECTION CONTROL.PROGRAM <br /> Complainant: :'RAY VON FLUE Nome Phone <br /> Address < Work Phone <br /> 206-468-9948 <br /> s <br /> Nature of complaint: <br /> POSSIBLE UIC,FRENCH DRAIN FROM ICE MACHINE.ALSO NEED TO DETERMINE IF OIL/H2O SEP DRAINS TO LEACH FIELD. <br /> CONTACT:JOSH VYSROLN-968-9848 4 <br /> Complaint Mode: OFComplaint Made Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail f CorresP ondence O-Other EH Unit P-Phone <br /> __ __ ____ ------------ i <br /> FACILITY INFORMATION `— —W OWNER INFORMATION <br /> Facility:FA00I0390-SCHNEIDER NATIONAL INC Owner: OW0008390-SCHNEIDER NATIONAL INC <br /> Site Location 161 E TRANSPORTATION CT RP/DBA SCHNEIDER NATIONAL INC <br /> 'FRENCH CAMP,CA 95231 RP Address 161 E TRANSPORTATION CT <br /> FRENCH CAMP,CA 95231 r � <br /> Billing Address PO BOX 2500 <br /> Mailing Address: PO BOX 2500 <br /> GREEN BAY,WI 54306 GREEN BAY,WI 54306 <br /> Nome Phone :209-234-4002 <br /> Phone <br /> Work Phone :800-616-3984 <br /> District 001 -OUT]ERREZ,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN 193-270-18 F <br /> Date Abated ! (� Inspector. <br /> ---------------- --- <br /> Send Referral to — Referral Letter Sent by <br /> Date: <br /> Referral Address <br /> Complaint Status Code: <br /> I <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 16-LETTER SENT TO TENANT <br /> 03-NAI SENT <br /> 17-15 DAY LETTER SENT <br /> 04-NOTICE TO ABATE ISSUED <br /> 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 05-ENFORCEMENT ACTION INITIATED <br /> 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE <br /> 07-REFERRED TO OTHER AGENCY 28 FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) ' <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> �eREo <br /> COWL <br /> DESK Complaint History <br /> f L� Attached But Not <br /> C0Py <br /> Y Scanned <br /> Completed <br /> CA <br /> MD <br /> 5104.rpt <br />