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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C005QLWOE Site Location: 17000 E HWY 120 Account ID: <br /> Received by: EE0009818 BAKER Received Date: 10/12/2019 Print Date: 10/14/2019 9:28:31AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 10/12/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> <br /> <br /> <br /> Nature of complaint: <br /> SMALL AMMONIA LEAK. <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:WING GROUP RP DBA THE WINE GROUP <br /> Site Location 17000 HWY 120 RP mailing address PO BOX 90 <br /> RIPON,CA 95366 TRACY,CA 95366 <br /> Cross Street MURPHY <br /> Mailing address RP contact NICOLE CARTER <br /> RP contact phone 209-608-1915 <br /> Phone <br /> Property Owner:WINE GROUP LTD PTP <br /> DBA THE WINE GROUP <br /> Owner address <br /> Billing Address PO BOX 90 <br /> TRACY,CA 95378 <br /> Home Phone 209-599-4111 <br /> Work Phone 209-599-4111 <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 24506030 <br /> Date Abated Inspector ID#: <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 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 /> omp aint Reviewed by: ate: Updated by: a <br /> 5104.rpt <br />