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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C05F2RWZA Site Location: 6425 N PACIFIC AVE Account ID: <br /> Received by: EE0009818 BAKER Received Date: 11/6/2019 Print Date: 11/6/2019 1:59:20PM <br /> Assigned To: EE0009818 BAKER Assigned Date: 11/6/2019 <br /> Proaram/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> CUSTOMERS FUEL LINE WAS CUT AND WHEN THE VEHICLE WAS BEING REFUELED IT LEAKED. PAVEMENT IMPACTED BY THE RELEASE. <br /> NO WATER IMPACTED. SERVICE STATION PERSONNEL CONDUCTED CLEAN UP <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 /> [-Internet/Email S-Sheriffs Office <br /> ---------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name:SAFEWAY FUEL CENTER 42707 RP DBA SAFEWAY FUEL CENTER#2707 <br /> Site Location 6425 N PACIFIC AVE RP mailing address PO BOX 29096,MS 6516 <br /> STOCKTON,CA 95207 PHOENIX,AZ 85038 <br /> Cross Street DOUGLAS <br /> Mailing address Recontact DAWNA NEWTON <br /> RP contact phone 971-242-3181 <br /> Phone <br /> Property Owner:LINCOLN PROPERTIES LTD ETAL <br /> DBA LINCOLN PROPERTIES LTD ET AL <br /> Owner address <br /> Billing Address 1371 OAKLAND BLVD#200 <br /> WALNUT CREEK,CA 94596 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 09741031 G <br /> Date Abated r1 b I l clInspector ID#: o��C�; CJ_ O l <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- ffice Response Only �PI/l S (_ " 1-O 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PIR�OGRAM FACILITY FILE 52-LEAD Abatement Regired-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: Date:ate: I I I pate y: Ph ate: <br /> 5104.rpt " 1 <br />