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Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00051281 Site Location: 85 E LOUISE AVE Account ID. <br /> Received by: EE0009830 SAUERS Received Date: 11/26/2019 Print Date: 11/26/2019 11:34:32AM <br /> Assigned To: EE0000026 RUVALCABA Assigned Date: 11/26/2019 <br /> Proaram/E/ement Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> F75—UNCES OF GASOLINE SPILLED.SPILL HAS BEEN CONTAINED AND CLEANED. <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-Intemet/Email S-Sheriffs Office <br /> ------------------ ------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 85 E LOUISE AVE RP mailing address <br /> LATHROP,CA 95330 <br /> Cross Street HARLAN <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:ARCO#6080 <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 003-PATTI,TOM Location Code 07-LATHROP <br /> APN 19627010 l <br /> Date Abated 'I a6/ Inspector ID#: �.S(,e/ �N/U'C 4 b h <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: o0? <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> Q2>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: Date- <br /> v,-- . <br /> pate y: a r, <br /> 5104.rpt <br />