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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COHBWMPSB Site Location: LITTLE POTATO SLOUGH Account ID: <br /> Received by: EE0000031 FLORIDO Received Date: 9/7/2019 Print Date: 9/10/2019 1:06:29PM <br /> Assigned To: EE0000031 FLORIDO Assigned Date: 9/7/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> <br /> <br /> <br /> Nature of complaint: <br /> **POTENTIAL RELEASE** <br /> PER NRC REPORT:CALLER IS REPORTING A POTENTIAL DISCHARGE OF AN UNKNOWN AMOUNT OF OIL INTO LITTLE POTATO SLOUGH AT TH <br /> COORDINATES PROVIDED. DISCHARGE IS FROM A VESSEL THAT IS TAKING ON WATER. REMEDIAL ACTIONS:TRYING TO GET PUMPS RUNNIN <br /> PUMP OUT THE WATER. <br /> VESSEL INFORMATION: Name:CHALEUR,Number: 1116488 <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-Sherifrs Office <br /> - ---------------- – - ------------ - -------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> ii'. __ <br /> Property Name: RP DBA C V l( 1 L Ld l�1�G��d <br /> Site Location EMPIRE TRACT RD RP mailing address --e I ; ex i c i o G kor- 2-0 <br /> STOCKTON,CA _r <br /> Cross Street EIGHT MILE RD I <br /> Mailing address RP contact David Era L L oG�r—d <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 004-W INN,CHARLES Location 99-UNINCORPORATED AREA <br /> APN NEAR 06908021 f <br /> Date Abated "I N / ms's (> �1 Inspector ID#: <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-Hooked up to public sewer <br /> omplaint Reviewed 4E ' " p a Date: 1 O 1 ( Updated by: C 1:1 Date:f0 <br /> 5104.rpt' �• t^Jl V J <br />