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Complaint Investigation Form Report 5106 <br /> COMPLAINT ID: C00027209 Site Location: 30636 E CARTER RD Account ID: <br /> Received by: EE0003600 BLACKWELL Received Date: 10/29/2007 <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 10/29/2007 <br /> Location Codegg-UNINCORPORATED AREA <br /> Program/Element Code: 4400-SOLID WASTE PROGRAM <br /> Nature of complaint: <br /> (C)STATES FACILITY IS BURNING PLASTIC AND DEAD BIRDS IN AN INCINERATOR(A TUB WITH A METAL LID WHICH BLACK SMOKE COMES <br /> BELLOWING OUT OF).(C)STATES THE BLACK SMOKE BURNS HIS MOUTH&THROAT.HAS HAPPENED MULTIPLE TIMES,BUT MOST <br /> RECENTLY THIS MORNING. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Co C-Counter E-Code Enforcement <br /> M-Mail/Correspondenc O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0004756-CARTER ROAD EGG RANCH OW0016078-PLEASANT VALLEY FARMS <br /> RPDBA:,JENKINS POULTRY FARMS <br /> Site Location: 30636 E CARTER RD <br /> RP Addressl 0858 E WEST RIPON RD <br /> FARMINGTON,CA 95320 <br /> RIPON,CA 95366 <br /> Mailing Address 30636 E CARTER RD Billing Address30636 E CARTER RD <br /> FARMINGTON,CA 95230 FARMINGTON, <br /> Phone 1st: 209-886-1000 Phone Hm: 209-886-1000 <br /> Wk: 209-652-2276 EXT: CELL <br /> District 004-WINN,CHARLES Location: 99-UNINCORPORATED AREA <br /> APN 20708004 <br /> ************************ ABATEMENT SUMMARY *********************** <br /> Status Employee ID and Name Abatement Date <br /> 07 EE0003973-MCCLELLON,ROBERT 11/1/2007 <br /> Abatement Status Codes <br /> 01-Field Abated 08-Unable to Verify 1SAti�I ngC'a�I�vv �rt�eAticzC'ase# <br /> 02-Office Abated 10-POSTED Srlutardard/Lhsecired-See Hol.NngFile 2S-10GCBCL1M1LE\0S-- bNbjcrVrlatiasIdatfied <br /> 03-NAI Sent 11 Multiple Corrplairrt -See Active Case# D- ISIEILI\E�S--ja'Ut"crFIdtffied <br /> 04-1\otice to Arte Issued 12-DA Referred ComplainSee Vitiation Tracking Form _"0-LE1DAa;e%lErt Ibrfi rud-l`bA mbonutPadned <br /> 06-EHD 2-LFADAibmtR*-ed-S)eRW iPcarrla <br /> 07-Referred to Other AWncy 9)-L34wfied—®dCCxf*rt—Oligral WAs We <br /> 5106.rpt <br />