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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047142 Site Location: 23523 S BANTA RD Account ID. <br /> Received by: EE0009819 BENIAMINE Received Date: 7/23/2018 Print Date. 1/30/2020 3:39:59PM <br /> Assigned To: EE0002670 NAIDU Assigned Date: 4/5/2019 <br /> Program/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> BRINGING CONTAMINATED DIRT ONTO THE PROPERTY. <br /> Complaint Mode: E 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-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 23523 S BANTA RD RP mailing address <br /> TRACY,CA 95304 <br /> Cross Street ELEVENTH ST <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:NIAXIMINO&MARIA GALVO <br /> DBA <br /> Owner address <br /> Billing Address 401 FOREST HILLS DR <br /> TRACY,CA 95376 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 25013009 <br /> Date Abated -4 _ ' �d� Inspector ID#: qnn <br /> Send Referral to N "1 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code ^ <br /> 01 -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 /> Violations Cited-see Linked <br /> (PR�OGR M FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07 Referred to Other Agency VK �� 97-Disaster Planning and Response <br /> 8-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 /> r <br /> omp aint Reviewed by: ate: Updated by: D,44 I <br /> IZ �L <br /> 5104.rpt <br />