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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C09JMB170 Site Location: 18667 N Jacob Brack Rd Account ID: AR0047592 <br /> Received by: EE0000032 ALANIZ Received Date: 4/8/2019 Print Date: 5/28/2019 9:02AIAM <br /> IAM <br /> Assigned To: EE0000032 ALANIZ Assigned Date. 4/8/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> Fdies el saddle tank was punctured by a rail causing the release of 39 gallons of diesel fuel. <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:SLITTER HOME WINERY INC RP DBA Christina Cook CLAIM P58799 <br /> Site Location 18667 N Jacob Brack RD RP mailing address PO BOX 94 <br /> LODI,CA 95242 South Sioux City,NE 68776 <br /> Cross Street <br /> Mailing address RP contact Christina Cook <br /> RP contact phone 209-898-3534 <br /> Phone <br /> Property Owner:Alex Bisbikif <br /> DBA SUTTER HOME WINERY INC <br /> Owner address <br /> Billing Address 18667 N Jacob Brack Rd <br /> LODI,CA 95242 <br /> Home Phone 209-200-1614 <br /> Work Phone <br /> District Location Code 02-LODI <br /> APN 011090 I'l <br /> Date Abated ��` J ]5 J rT�I 1 c�(1 0 l A Inspector ID#: A l m t—L <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> r01-Field Response-Viola_tinas-Cited ander Corrected J 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 Regired-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 FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewedy: e' pate y: <br /> 5104.rpt <br />