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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00055079 Site Location: 898 S DE ANZA BLVD Account ID: AR0052548 <br /> Received by: EE0000753 NG Received Date: 7/28/2022 Print Date: 2/8/2023 7:40:24AM <br /> Assigned To: EE0000033 NSO Assigned Date: 7/28/2022 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complai <br /> <br /> <br /> Nature of complaint: <br /> ABOVE GROUND TRANSFORMER MALFUNCTION AND WAS LEAKING NON-PCB MINERAL OIL-200 GALLONS,NO WATER IMPACT,NEAR <br /> DRAIN BUT PLACED BERM. STILL LEAKING BUT INTO BUCKET. <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: RPDBA MODES <br /> <br /> ,CA 95352 <br /> Cross Street MUSTANG <br /> Mailing address <br /> <br /> Phone <br /> Property Owner:MOUNTAIN TECHNOLOGY CENTER E LLC <br /> DBA <br /> Owner address <br /> Billing Address 8775 FOLSOM BLVD STE 200 <br /> SACRAMENTO,CA 95826 <br /> Home Phone <br /> Work Phone <br /> District 005-RICKMAN,ROBERT Location Code 99-UNINCORPORATED AREA <br /> APN 25405032 <br /> Date Abated 02,10 g I ZO Z 3 Inspector ID#: <br /> ------------------------------------------------- <br /> Send Referral to 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 /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-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 eviewe y: I ate: p�ate y: ate: <br /> 5104.rpt <br />