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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: COADGXYTP Site Location: 3223 E. HAMMER LANE Account ID: <br /> Received by: EE0009835 GAITAN Received Date: 7/31/2020 Print Date: 8/6/2020 8:58:53AM <br /> Assigned To: EE0009835 GAITAN Assigned Date: 7/31/2020 <br /> Proaram/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> [10 GALLON MOTOR OIL RELEASE DUE TO SOMEONE ILLEGALLY DUMPING GROUND AND STORM DRAIN IMPACTED. <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-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------ <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA WALMART <br /> Site Location 3223 HAMMER LN RP mailing address 3223 E.HAMMER LANE <br /> STOCKTON,CA 95212 STOCKTON,CA 95212 <br /> Cross Street HOLMAN RD. <br /> Mailing address RP contact SEAN GALLI <br /> RP contact phone 510-364-9840 <br /> Phone <br /> Property Owner:WALMART REAL ESTATE BUSINESS <br /> DBA <br /> Owner address <br /> Billing Address PO BOX 8050 <br /> BENTONVILLE,AR 72712 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 129-6 <br /> 618006 <br /> Date Abated 202V Inspector ID#:Send Referral to / Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: /�I <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 /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE ?F'0515301 52-LEAD Abatement Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-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 /> ompaint Reviewed by: ate: pate y: x . <br /> I� <br /> 5104.rpt <br />