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Stale of California-California Environmental Protectlenc • Department of Toxic Substances Control ENVIROSTOR COMPLAINT FORM CAL EPA COMPLAINT ID#:41416 CASE # 14-1014-0519 Is this an emergency?: N Is this a spill?: N Complaint Intake: How Complaint Was Received: CALEPA Online Complaint System Received By: Laura Helfrich Date Received: 10/22/2014 Time Received: 02:59 PM Notification Made Regarding Prop 65: N Local Agency Notified: Who Notified at Local Agency: Complainant Information: Contact Name:Terry Hernandez Agency: Address: 931 Oro Avenue Stockton, CA San Joaquin County Contact Phone: Contact Email: Complaint Description: Complaint Related To:Toxics(DTSC) Date of Occurrence: 10/21/2014 Time Received: 12:30 AM Onging: Unknown Complaint Focus: Complaint Description: Call is difficult to understand. Caller stated -She needs to have her dirt tested at her home. Remediation center is doing remediation less than 100 feet from her home and is worried that the plume(?) has come into her yard. There is black dirt and when she adds water to the dirt it bubbles up with white foam. No contact information was provided other that her address. No information regarding the remediation (who, what or why)was provided. Laura Helfrich - 10/22/2014The original phone message was left on Rick Brausch's phone (DTSC-HWMP Division Chief), which he forwarded to me to submit. I have saved the phone message and can be forward if needed. Call is difficult to understand. Alleged Responsible Party (ARP): Company Name: Unknown Contact Name: Address: Unknown Stockton, CA San Joaquin County Response Type/ Date: 10/27/2014 Referred To: San Joaquin County Environmental Health-Kasey Foley-kfoley@sjcehd.com Generated by EnviroStor-http.fi w envlrostordtscdo gov PDF Generated an 1012912014 2:58.13PM