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Complaint Investigation Form <br />MPLAIW ID: 000020802 Site Location: 6425 PACIFIC AVE <br />Receivedby: EE0003580 LE <br />Assigned To: EE0003580 LE <br />Received Date: 5/7/2004 <br />Assigned Date: 5/13/2004 <br />ProoraMEfement Code2200. HAZARDOUS WASTE GENERATOR PROGRAM <br />Complainant: : Home Phone <br />Address Work Phone <br />ON THE GROUND AND CLEANED UP WITH FM -186. <br />Report #: 5104 <br />.1unt ID: AR0004604 <br />Print Date: 5/13/2004 4:49:02PM <br />Complaint Mode: P Complaint Mode Codes A -Agency Referral B-Bd of Supervisors / City Council C -Counter <br />E -Code Enforcement M -Mail / Correspondence O -Other EH Unit P -Phone <br />--------------------------------------- — — — — — — — — — — <br />FACILITY INFORMATION OWNER INFORMATION <br />Facility: FA0002409 -SAFEWAY FUEL CENTER <br />Site Location 6425 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Mailing Address: 5918 STONERIDGE MALL RD <br />PLEASANTON, CA 94588-2704 <br />Phone :209-472-8600 EXT: 1219 <br />Owner: O W0009310 -SAFEWAY INC <br />RPIDB.4 <br />SAFEWAY INC <br />RP Address <br />5918 STONERIDGE MALL RD <br />PLEASANTON, CA 94588-3229 <br />Billing Address <br />PO BOX 29096 <br />PHOENIX, AZ 85038-9096 <br />Home Phone <br />: 925467-3000 <br />Work Phone <br />: 925467-2217 <br />District 002 - MARENCO, DARIO Location Code 01 - STOCKTON <br />APN ; <br />Date Abated :� —� l E>� .. Inspector: <br />1 33c') <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code: If otp <br />Circle appropriate Status Code <br />01 - FIELD ABATED <br />02 - OFFICE ABATED <br />03 -NAI SENT <br />04 - NOTICE TO ABATE ISSUED <br />05 - ENFORCEMENT ACTION INITIATED <br />06 - EHD PERMIT FACILITY - see Linked PROGRAM FACILITY FILE <br />07 - REFERRED TO OTHER AGENCY <br />08 - UNABLE TO VERIFY <br />09- FOODBORNE ILLNESS <br />10 -SUBSTANDARD PROPERTY -SEE HOUSING ABATEMENT FILE <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - ENFORCEMENT CASE - Transfered to LIQUID WASTE FILE <br />13 . ENFORCEMENT CASE - Transferred to SOLID WASTE FILE <br />5104.rpt <br />14 - ENFORCEMENT CASE - Transferred to ER FILE <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />16 - LETTER SENT TO TENANT <br />17 -15 DAY LETTER SENT <br />18 - ENFORCEMENT CASE - Transferred to VECTOR CONTROL FILE <br />19 - ENFORCEMENT CASE -Transferred to WELL PROGRAM FILE <br />28 - FOODBORNE ILLNESS - Unconfirmed <br />29 - FOODBORNE ILLNESS - Confirmed <br />50 - LEAD HAZ EVALUATION REQUIRED (1) <br />51 - LEAD HAZ WORK PLAN SUBMITTED (2) <br />52 - LEAD HAZ ABATEMENT IN PROGRESS (3) <br />53 - LEAD HAZ VISUAL INSPECT SATISFACTORY (4) <br />54- LEAD HAZ DUST EVALUATION SATISFACTORY (5) <br />COMPLAIN' DESK <br />COPY <br />