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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COULADZQO Site Location: 17100 Harlan Road, Lathrop, CA 9533( Account ID: <br /> Received by. EE0009001 MANZO Received Date: 6/5/2018 Print Date: 6/6/2018 3:02:58PM <br /> Assigned To: EE0009001 MANZO Assigned Date: 6/6/2018 <br /> Program/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> : <br /> Approximately 5-10 gallons of diesel was released to paved surface due to fuel tank puncture during transport <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-Sheriffs Office <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:LATHROP INDUSTRIAL OWNER LLC Responsible Parry or Property Owner:LATHROP INDUSTRIAL OWNER LLC <br /> Site Location 17100 S Harlan RP/DBA : <br /> LATHROP,CA 95330 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN 19812004 <br /> Date Abated A:; ' Inspector ID#: <br /> ----------------------------------------------------1--------------------------------------------------------------------------------------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> d <br /> Referral Address Date: <br /> Complaint Status Codeq_ <br /> Circle appropriate Status Code <br /> 01- ield Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-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 51-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 /> omp aint Reviewed y: ate: pate y: <br /> �. ,�C, t t 1,6 <br /> 5104.rpt <br />