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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048220 Site Location: 800 E KETTLEMAN LN#2076 Account iD <br /> Received by: EE0000753 NG Received Date: 7/5/1991 Print Date: 1/4/201912:41:35PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/4/2019 <br /> Prooram/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> INCIDENT OCCURRED ON 7/3/1991 AT 12:15 P.M.LESS THAN ONE GALLON OF UNLEADED SPILLED ON CONCRETE"DRIVE OFF'.STAYED <br /> ON CONCRETE PAD&ABSORBENT MATERIAL WAS USED TO CLEAN <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-Intemet/Email S-Sheriffs Office <br /> -- ---------------- ------------- - ---- - - <br /> PROPERTY <br /> _ ---_—_-- —__- --_--- -- ----- - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RPOBA ARCO <br /> Site Location 800 E KETTLEMAN LN#2076 RP mailing address <br /> LODI,CA 95240 <br /> Cross Street CHEROKEE <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:KAREN SCHULTHEIS <br /> DBA ARCO <br /> Owneraddress <br /> Billing Address <br /> Home Phone 415-571-2427 <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 06206042 <br /> Date Abated I ' 1 Inspector/D#: SM ty <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: CR <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 9�7�-Disaster Planning and Response <br /> 06-Unable to Verify Alleged Complaint 6J JNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File lMNN-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 /> omplaint Reviewedy: Date Up ated by: ate: I ` <br /> 5104.rpt <br />