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COMPLAINT ID: C00033499 <br />Complaint Investigation Form <br />Site L tion: 2142 W YOSEMITE AVE MW Account ID: : <br />Received by: EE0002670 NAIDU <br />Assigned To: EE0002670 NAIDU <br />Received Date: 4/25/2011 <br />Assigned Date: 4/27/2011 <br />Prooram'Element Code: 200 - HAZARDOUS WASTE GENERATOR PROGRAM <br />Complainant: : GREG BAIRD Home Phone <br />Address Work Phone <br />E -Mail Address <br />209-456-8156 <br />Report #: 5104 <br />Print Date: 4/27/2011 1:34:29PM <br />FACILITY IS ON SEPTIC TANK AND TRYING TO OPERATE A TRUCK WASH. ALSO OPERATES A TRUCK REPAIR BUSINESS. <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-Sherifrs Office <br />------------------------------------------------- <br />PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br />Property Name: <br />Site Location 2142 W YOSEMITE <br />MANTECA, CA 95337 <br />Cross Street AIRPORT <br />Phone • <br />District 005 - ORNELLAS, LEROY <br />APN 24130058 <br />Responsible Party or Property Owner <br />RP/DBA IMPERIAL REPAIR GROUP <br />RPAddress 2142W YOSEMITE AVE <br />MANTECA, CA 95337 <br />Billing Address 2142 W YOSEMITE AVE <br />Home Phone <br />Work Phone <br />Location Code 04 - MANTECA <br />Date Abated S] it I ( ( Inspector. ZOO <br />— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Coder <br />Circle appropriate Status Code <br />01 -FIELD ABATED <br />02 - OFFICE ABATED <br />03 - NAI SENT <br />04 - NOTICE TO ABATE ISSUED <br />06 - EHD FACILITY - see Linked PROGRAM FACILITY FILE <br />07 - REFERRED TO OTHER AGENCY <br />UNABLE TO VERIFY <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 DA Referred Complaint -See Violation Tracking Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - FOODBORNE ILLNESS - No Major Violations Identified <br />29 - FOODBORNE ILLNESS - Major Violations Identified <br />5104.rpt <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED -Old Complaint -No Original Found <br />CL - Case Closed <br />