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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050437 Site Location: 3019 NAVY DR Account ID: <br /> Received by: EE0009830 SAUERS Received Date: 9/6/2019 Print Date. 9/10/2019 11:44:13AM <br /> Assigned To: EE0000031 FLORIDO Assigned Date: 9/6/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> DIESEL FUEL SPILL. DRILLER HIT FUEL LINE THAT IS 7 FEET UNDERGROUND. DIESEL FUEL GUSHED OUT FOR ABOUT 10-15 MINUTES. <br /> SPILL OCCURRED AT APPROXIMATELY 11:30 AM 9/6/19 <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 /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name:VARA NORTH AMERICA RPDBA WBCM CONSTRUCTION SERVICES,LLC <br /> Site Location 3019 NAVY DR RP mailing address <br /> <br /> <br /> <br /> <br /> Phone <br /> Property Owner <br /> DBA STOCKTON PORT DISTRICT <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN NEAR 14502018 <br /> Date Abated 0i / to 1 2�_o 1 C1 Inspector ID#: C;C, "-)I F <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 F LE 52-LEAD Abatement Reqired-See Program Record File <br /> 07'.-Referred to Other Agency 'I � �..- 97-Disaster Planning and Response <br /> �._; <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 /> omplaint Reviewed by: Date: Updated by: <br /> 5104.rpt <br />