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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COVEZDHGC Site Location: 18045 Kelso Rd. Mountain House, CA Account ID: AR0045936 <br /> Received by: EE0000030 HANG Received Date: 3/19/2018 Print Date: 8/20/2018 1:25:38PM <br /> Assigned To: EE000003011rD4Al '01 T_ Assigned Date: 3/19/2018 <br /> Program/Element Code: 546-Release/Spill Response(excluding Joint Team) <br /> Complainant <br /> <br /> <br /> Nature of com taint: <br /> Diesel convault tank had a crack at the diesel filter area that was released diesel onto soil,concrete,and into onsite storm drain.Approximate release,50 <br /> gallons. <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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Mountain House CSD Water"treatment Plant Responsible Party or Property Owner:Michael Buckley <br /> Site Location 18045 Kelso RP/DBA Mountain Rouse CSD Water Treatment Plant <br /> MOUNTAIN HOUSE,CA 95391 RPAddress 18045 Kelso Rd. <br /> Cross Street Byron Rd. MOUNTAIN HOUSE,CA 95391 <br /> Billing Address 18045 Kelso Rd. <br /> Home Phone :209-604-4870 <br /> Phone Work Phone 209-346-9393 <br /> District Location Code <br /> APN <br /> Date Abated f 2 l� � ' Inspector ID#: SAC(Ge j S <br /> Send Referral to / Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Cod <br /> Circle appropriate Status Code <br /> field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp amt Reviewed by: at� Updated at <br /> c- <br /> 5104 rpt <br />