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Complaint Investigation Form <br />Report #: 5106 <br />COMPLAINT ID: C00032881 Site Location: 26700 S BANTA RD Account ID: AR0037012 <br />Received by: EE0005642 HENRY Received Date: 11/15/2010 <br />Assigned To: EE0005642 HENRY Assigned Date: 11/15/2010 <br />Location Code99 - UNINCORPORATED AREA <br />Program/Element Code: 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />OVERFILLED 20000 GALLON SODIUM HYDROXIDE 50% TANK RESULTING IN SPILLAGE. 71 <br />Complaint Mode P Complaint Mode Codes A -Agency Referral B-Bd of Supervisors/City G C -Counter E -Code Enforcement <br />M-Mail/Corresponden( O -Other EH Unit P -Phone <br />District 005 - ELLIOTT, BOB <br />APN <br />Status Employee ID and Name <br />01 EE0005642 - HENRY, MICHELLE <br />Abatement Status Codes <br />01 -Field Abated <br />02 -Office Abated <br />03 -NAI Sent <br />04 -Notice to Abate Issued <br />06-EHD Pemut Facility -See Linked Facility File <br />07 -Referred to Other Agency <br />5106. rpt <br />Location: 99 -UNINCORPORATED AREA <br />ABATEMENT SUMMARY <br />Abatement Date <br />12/17/2010 <br />08-Unableto Verify 15-Aak Cbse# <br />10-POKMSubstandardlAisecued-SeeHoLsingFile 28-KCEBQIMILLI5S—MM#yMolmcrsld3rified <br />11 -Multiple Complaints -See Active Case # 29•FOEEBaNCUINE%-4crNiieL iaE ld rtified <br />12 -DA Referred Complaint -See Violation Tracldng Fa -mi 501DDAsessrret Pafarred—MAbA tat Pb#ed <br />52-LFADA amut R girad —See Raja nPwa fide <br />93LiWcci cd—OdGnplai t—Oigrel rrtAmiWe <br />