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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00049820 Site Location: 12500 W WALNUT GROVE RD Account ID: <br /> Received by: EE0000014 MORENO Received Date: 5/16/2019 Print Date: 5/20/2019 11:56:19AM <br /> Assigned To: EE0009818 BAKER Assigned Date: 5/16/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> PALLONS OF NON-PCB MINERAL OIL RELEASED FROM POLE-MOUNTED TRANSFORMER <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 RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA PG&E <br /> Site Location 12500 W WALNUT GROVE RD RP mailing address PO BOX 7640 <br /> WALNUT GROVE,CA 95690 SAN FRANCISCO,CA 94120 <br /> Cross Street LAMB <br /> Mailing address RP contact ALEX STEELE <br /> RP contact phone 209-337-8902 <br /> Phone <br /> Property Owner:SILVERDALE FARMS <br /> DBA SILVERDALE FARMS <br /> Owner address <br /> Billing Address PO BOX 1340 <br /> WALNUT GROVE,CA 95690 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00105007 <br /> Date Abated3 Inspector ID#: G <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: KJ <br /> Circle appropriate Status Code <br /> Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> u -Office Response Only il� n 50-LEAD Assessment Performed-No Abatement Required <br /> 06- solations Cited-see Linked PROGRAM FACILITY FILE 1 0 n �Lq 52-LEAD Abatement Regired-See Program Record File <br /> -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 FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint eviewe y: te: ed by: <br /> 5104.rpt C <br />