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" . x Complaint Investigation Form " Report#:5104 <br /> COMPLAINT ID: C00015911 Site Location: 2725 COUNTRY CLUB BLVD Account ID:AR0004482 <br /> Received by: EE0000684 INFURNA Received Date: 5/8/2001 <br /> Assigned To: EE0000418 KITH Assigned Date: 518101 <br /> ProoramlElement Code: 2361 -NEW MULTI UST FACILITY <br /> <br /> <br /> Nature of complaint: p <br /> LOP SITE W1 MONITORING WELL#2 SHOWING SIGNIFICANT RISE IN DISSOLVED MTBE IN GROUNDWATER IN NEW UST AREA-VERIFY <br /> SYSTEM IS TIGHT. I <br /> a , <br /> Complaint Mode O Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council i. E-Code Enforcement <br /> M-MaiilCorrespondence O-Other EH Unit C-Counter P-Rhone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002064-7 ELEVEN STORE#14117 D12237 Owner: OW0000721 -7-ELEVEN INC F <br /> RPIDBA: 7-ELEVEN UNC <br /> Site Location: 2725 COUNTRY CLUB BLVD RP Address: 2711 N HASKELL AVE <br /> STOCKTON,CA 95204 <br /> DALLAS,TX 75204 <br /> Mailing Address: 2725 COUNTRY CLUB I' <br /> STOCKTON,CA 95204 <br /> Billing Address:: PO BOX 711 <br /> & <br /> DALLAS,TX 75221 's <br /> Phone:1st: 209-463-1259 Phone: Hm: 234-828-7571 i <br /> Wk: 559-230-0711 <br /> District 003-MOW,VICTOR Location Code 01 -STOCKTON <br /> APN <br /> . i <br /> Date Abated <br /> Inspector <br /> RLE(Oe. <br /> Send Referral to: <br /> Referral Address: <br /> � <br /> completed <br /> P <br /> Referral Letter Sent by: <br /> Date: <br /> r <br /> Complaint Status Code: <br /> 01 -Field Abated ,6 f 10-Substandard Property-See HOUSING ABATEMENT Hie <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# /1 j <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent r C <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3)1 <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid 1 Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory'(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) i <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) : <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.ryt r <br />