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Complaint Investigation Form Report#:5106 <br /> COMPLAINT ID: C00029141 Site Location: 6421 CAPITOL AVE Account ID: AR0000484 <br /> Received by: EE0000753 NG Received Date: 9/23/2008 <br /> Assigned To: EE0001422 CACAPIT Assigned Date: 9/24/2008 <br /> Location Code99-UNINCORPORATED AREA <br /> Program/Element Code: 2220-SM HW GEN<5 TONS/YR <br /> Nature of complaint.- <br /> DURING AN INSPECTION(C)FOUND A DRUM LABELED"GASOLINE/WATER MIXTURE"WITH AN ACCUMULATION DATE OF 4/25/08. THE <br /> DRUM WAS ABOUT 1/4 FULL,NOT CLOSED,AND THE LABEL WAS VERY FADED. <br /> Complaint Mode A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City G C-Countei E-Code Enforcement <br /> M-Mail/Correspondent 0-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000485-FLAG CITY CHEVRON OW0005718-AMIRI, HALEH <br /> RP DBA:None Specified <br /> Site Location: 6421 CAPITOL AVE <br /> LODI,CA 95242 RP Address1809 SCHOOL ST <br /> MORAGA,CA 94556 <br /> Mailing Address 6421 CAPITOL AVE Billing Addressl809 SCHOOL ST <br /> LODI,CA 95242 MORAGA, <br /> Phone 1st: 209-334-0975 Phone <br /> Wk: 209-334-0975 <br /> District 004-VOGEL, KEN Location: 99-UNINCORPORATED AREA <br /> APN 05532024 <br /> * * ** **** ** * * * **** * * * *** * ABATEMENT SUMMARY * * * * *** ** * * ** * ** ** * ** * * <br /> Status Employee ID and Name Abatement Date <br /> 01 EE0001422-CACAPIT,ARIS 11/17/2008 <br /> Abatement Status Codes <br /> 01-Field Abated 08-Unable to Verify 15-Active Housing Cas&-New Cbtrplaint-See Active Case# <br /> 02-Office Abated 10-POSTED Su stanchdUmecuzci-See Horsing File 28-F00DBOURNE UTASS—I�b N46 or Violations Identified <br /> 03-NAI Sent I 1-NUtiple Cor planits-See Active Case# 24-FOODBOUNRE ILINESS—Major Violations Identified <br /> 04-Notice to Abate Issued 12-DA Referred Cotrplairt-See Violation Tracldng Forrr50-LEAD Assessrent FbfmTed—No Ab tetnant RaT-ired <br /> 06-EHD Permit Facility-See Linked Facility File 52-LEADAbaterrat Required—See Progt3n Reoord File <br /> 07-Referred to Other Agency 99-Unspecified—C(d C orrplairt—Original not Available <br /> 5106.rpt <br />