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Ak Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00049179 Site Location: 16888 MCKINLEY AVE Account ID: <br /> Received by: EE0009830 SAUERS Received Date: 3/6/2019 Print Date: 3/6/2019 11:00:56AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 3/6/2019 <br /> ErQ ram/Element Co.3tg 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> AMMONIA SPILLED FROM PIPING ON 3/5/19.SPILL HAS BEEN CONTAINED AND CLEANED ALREADY. <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-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 16888 MCKINLEY AVE RP mailing address <br /> Cross Street <br /> LATHROP,CA 95330 <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:SUPER STORES INDUSTRIES <br /> DI3A <br /> Owner address <br /> Billing Address 2800 W MARCH LN SUITE 210 <br /> STOCKTON,CA 95219 <br /> Home Phone <br /> Work Phone <br /> District 003-PATTI,TOM Location Code 07-LATHROP <br /> APN 19816004 <br /> Date Abated Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: C Z <br /> Circle appropriate Status Code <br /> 001 -Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> (oz}Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06--Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged F131-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by: ate' Updated y: ate' <br /> 5104.rpt <br />