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Complaint Investigation Form Report#: 5106 <br /> COMPLAINT ID: C00039228 Site Location: 4167 S B ST Account/D: AR0040107 <br /> Received by: EE0002622 ESCOTTO Received Date: 2/11/2015 <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 2/11/2015 <br /> Location Code01 -STOCKTON <br /> Program/Element Code: 4700-WASTE TIRE PROGRAM <br /> Nature of complaint: <br /> FACILITY IS NOT SUBMITTING WASTE TIRE MANIFESTS TO CAL RECYCLE WITHIN 90 DAYS OF THE LOAD SHIPMENT. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City C. C-Countet E-Code Enforcement <br /> M-Mail/Correspondent O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0021997-DELRAY TIRE AND RETREADING INC OW0018110-DELRAY TIRE AND RETREADING INC <br /> RPDBA:None Specified <br /> Site Location: 4167 S B ST <br /> RPAddress4167 S B ST <br /> STOCKTON, CA 95206 <br /> STOCKTON,CA 95206 <br /> Mailing Address 4167 S B ST Billing Address4167 S B ST <br /> STOCKTON, CA 95206 STOCKTON, <br /> Phone 1st: 209-983-3000 Phone Hm: 209-983-3000 <br /> Wk: Number Not Specified <br /> District 001 -VILLAPUDUA, MIGUEL Location: 01 -STOCKTON <br /> APN 17733015 <br /> ABATEMENT SUMMARY * * * * * * * * * * * * * * * * * * * * * * * <br /> Status Employee ID and Name Abatement Date <br /> 01 EE0002622-ESCOTTO, BENJAMIN 3/23/2015 <br /> Abatement Status Codes <br /> Ol-Field Abated O8-UnabletoVerify 1SPcti�ella®rgC l�wCtiYplaitt�eAdi�eC�e# <br /> 02-Office Abated 10-POS'fEDSubstandardNnsecured-Seel-busirig File 28-K)013CLR-EUINSS-1bN*r%1olbmldj1ifiel <br /> 03-NAI Sent 11-1VfidtipleCorrplaints-See Active Case# 29LFOCEHCLNREILIIETS-4ci—Vidliavldxlified <br /> 04-Notice to Abate Issued 12-DA Referred Corrplairt-See Violation Tiacldrg Form 54LE6DA8Tat PbIbTred–NSAhlffwt Peqjred <br /> 06-ETD PerrTit Facility-See Lirked Facility File 52 LFADAE(cnW paud–SxnTwFmldFile <br /> 07-Referred to Other Agency 99UhTacifial–Gdmrplairt–Oigral rxiANaildble <br /> 5106 rpt <br />