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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00049193 Site Location: 30000 KASSON RD 1EO12 EVERGRE AccountlD: <br /> Receivedby: EE0001420 NISSIM Received Date: 3/8/2019 Print Date: 3/8/2019 2:00:50PM <br /> Assigned To: ISAlc)e- Assigned Date: 3/8/2019 <br /> Program/ElementCode 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> CHOP SHOP(AUTO THEFT CONTACTED)TENANT POURING OIL AND MECHANICAL CHEMICALS ON THE GROUND. <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 /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 30000 KASSON 1 El EVERGREEN RD RP mailing address <br /> TRACY,CA 95304 <br /> Cross Street JOAQUIN <br /> Mailing address RPcontact <br /> RP contact phone <br /> Phone <br /> Property Owner:SYLVIA HOLSTEN <br /> DBA <br /> Owner address <br /> Billing Address <br /> <br /> <br /> <br /> <br /> <br /> Date Abated CI Inspector ID#: <br /> -----------------------------------) ui <br /> - ----------------------------------------------------------------------------------------------------------------------------------- <br /> Send Referral to �f Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-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 /> ®Referred to Other Agency 97-Disaster Planning and Response <br /> nable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> OSTED 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 FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewedy:^ e p a e y: <br /> 1 <br /> 5104.rpt <br />