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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00043319 Site Location: 21264 E RIVER RD <br /> Account lD: <br /> Received by: EE0005642 HENRY <br /> Received Date: 4/19/2017 Print Date: 4/20/2017 11:50:24AM <br /> Assigned To: EE0005642 HENRY Assigned Date: 4/19/2017 <br /> ProoramiElement Code2546-Release/Spill Response(excluding Joint Team) <br /> Home Phone <br /> Complainant: :RP:PG&E <br /> Work Phone ; <br /> Address :PO BOX 7640 <br /> SAN FRANCISCO,CA 94120 E-Mail Address <br /> Nature ofcomplaint: <br /> VEHICLE VS POLE.RELEASED APPROXIMATELY 20 GALLONS OF MINERAL OIL TO THE GROUND. <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-Inlemet/Email S-Sheriffs Office _________ <br /> -------------------------------------- <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 21264 E RIVER RP/DBA PG&E <br /> ESCALON,CA 95320 RP Address PO BOX 7640 <br /> Cross Street VAN ALLEN SAN FRANCISCO,CA 94120 <br /> Billing Address PO BOX 7640 <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN 24524001 <br /> Date Abated k 1u l I � Inspector ID#: �bU Z <br /> Referral Letter ent by <br /> Send Referral to Date: <br /> Referral Address <br /> Complaint Status Code: , f <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 1-Field Response-Violations Cited and Corrected <br /> 28-Alleged FBI-No Major Violations Identified <br /> 2-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> O6-Violations Cited-see Linked PROGRAM FACILITY FILE <br /> 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE It <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> e Pate Y� Dffi I <br /> ompamt eviewe y: '� <br /> 5104rpt <br />