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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048219 Site Location: 800 E KETTLEMAN LN AccountlD. <br /> Received by: EE0000753 NG Received Date: 4/1/1991 Print Date., 1/4/2019 12:34:55PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/4/2019 <br /> PEggram/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> CUSTOMER DROVE OFF WITH NOZZLE AND SPILLED TWO GALLONS OF GASOLINE.FIRE DEPARTMENT CLEANED UP SPILL WITH <br /> ABSORBENT MATERIAL <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-Sherifrs Office <br /> ------ - - ------ ------------------------------- <br /> PROPERTY <br /> -- — ------------ —__--_—_-------PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RPOBA ARCO <br /> Site Location 800 E KETTLEMAN LN RP mailing address <br /> LODI,CA 95240 <br /> Cross Street CHEROKEE <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner;ARCO <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 06206042 <br /> Date Abated 1141 <br /> I Inspector ID A, Sq Uec <br /> Send Referral to 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 /> 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-Hocked up to public sewer <br /> ompalnt Reviewed by: ate: Updated by: ate: I '� <br /> 5109.rpt <br />