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t <br /> '- 1 Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00048426 Site Location: 20500 S HOLLY DR Account ID: <br /> Received by: EE0000753 NG Received Date: 9/18/1991 Print Date: 1/171201912:04!36PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/17/2019 <br /> Program,Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> <br /> <br /> <br /> Nature ofcomplaint: <br /> GASOLINE LINE BROKE. 1-1.5 GALLONS OF REGULAR GAS SPILLED INTO CONTAMINATED DYKE.OCCURRED 9/17/91 AT 9:40 AM <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-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 /> Owneraddress <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 1111q Inspector ID#: �I,L <br /> _ L <br /> _ <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 Requed-See Program Record File <br /> 07-Referred to Other Agency V ster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99 NSPECIFIED-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# St-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by: ate: Updated by: <br /> 51N.rpt 1 <br />