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,. Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00048425 Site Location: 20500 S HOLLY DR Account 1D., <br /> Receivedby: EE0000753 NG Received Date: 5/22/1991 Print Date: 1/17/2019 11:57:20AM <br /> Assigned To: EE0000753 NG Assigned Date: 1/17/2019 <br /> ProgramiElement Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> HCL SPILL FROM ABOVE GROUND HOLDING TANK <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/Comespondence O-Other EH Unit P-Phone <br /> I-Intemel/Email S-Sheriffs Office <br /> —_—— — _ _- - - ----------------------------------- <br /> PROPERTY <br /> _ - ------_—_—_— — — _—PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 20500 S HOLLY DR RP mailing address <br /> TRACY,CA 95304 <br /> Cmss Street SUGAR <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:HOLLY SUGAR <br /> DBA <br /> Owner address <br /> Billing Address PO BOX 60 <br /> TRACY,CA <br /> Home Phone 209-835-3210 <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 70510150 <br /> Date Abated ? I Inspector lD <br /> cl� <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:179 <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 Reclined-See Program Record File <br /> 07-Referred to Other Agency Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 9 UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File N-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Pemnit 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 Reviewed y: Date Updated by. ate: ' 1- Ito <br /> 5104.Tt <br />