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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051352 Site Location: 85 E LOUISE AVE Account ID: AR0003213 <br /> Received by: EE0000014 MORENO Received Date: 12/19/2019 Print Date: 12/19/2019 11:24:56ANI <br /> Assigned To: EE0000031 FLORIDO AssignedDate: 12/19/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> SPILL GASOLINE 10 OZ <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 /> Facility:FA0003635-ARCO 06080 RP DBA wesj Coa'Sj ?VV LAQ(,� L L-C <br /> Site Location 85 E LOUISE AVE RP mailing address pb C)Cx cyaag <br /> LATHROP,CA 95330 Pr- IU i q 01 <br /> Cross Street H W Y 5 r <br /> Mailing address PO BOX 6038 RP contact binSfiWh "I 0 M0 <br /> ARTESIA,CA 90702 RP contact phone I ,i ,0`7' <br /> Phone 209-983-9144 EXT: <br /> Owner: OW0002699-BP WEST COAST PRODUCTS,LLC <br /> DBA <br /> Owneraddress PO BOX 6038 <br /> ARTESIA,CA 90702 <br /> Billing Address PO BOX 6038 <br /> ARTESIA,CA 90702 <br /> Home Phone <br /> Work Phone 415-902-5089 EXT: <br /> District 003-PATTI,TOM Location Code 07-LATHROP <br /> APN 19627010 jj <br /> Date Abated 1 2 ' (i`O Inspector ID#: C,L% (.l 1 Ct G <br /> ----------------------------------------- ------- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 1 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 /> ompaint Reviewed by: dA ate: p ate y: Date , <br /> � • "70 V <br /> 5104,rpt <br />