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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00043740 Site Location: 12380 VAN ALLEN ROAD Account/D: <br /> Received by: EE0000006 SAEED Received Date: 7/3/2017 Print Date: 7/32017 11:47:55AM <br /> Assigned To: EE0000031 FLORIDO Assigned Date: 7/3/2017 <br /> Proarami 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature ofcom laint: <br /> TANKER TRUCK ROLLED OVER.UREA AMMONIUM-NITRATE WAS RELEASED ONTO THE ROADWAY AND INTO ASTORM DRAIN.PD AND <br /> CONTRACTOR ARE ON SCENE, DIKES HAVE BEEN CONSTRUCTED. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> --_----_— ---- --------------- ---------------_PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:LEORA GOBEL <br /> Site Location 12380 VAN ALLEN RP7DBA W ILBER ELLIS COMPANY <br /> ESCALON,CA 95320 RPAddress 16300 CHRISTIANSEN RD ST 135 <br /> Cross Street <br /> Billing Address 16300 CHRISTIANSEN RD ST 135 <br /> Home Phone ;206-988-5394 <br /> Phone Work Phone <br /> District 004-W INN,CHARLES Location 06-ESCALON <br /> APN 20522014 I <br /> Date Abated ap Inspector ID A, a U 3 ( , F (or i d O <br /> __ --_ —_------- __ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> �-Field Response-Violations Cited and Corrected 28-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 Regired-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 Willy 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 Program Enforcement Action Form <br /> omplaint Reviews Y3 <br /> ZQ <br /> te: Updated by t <br /> 5104.rpt <br />