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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043858 Site Location: 1000 ROTH RD Account ID: : <br /> Received by: EE0005642 HENRY Received Date: 7/24/2017 Print Date: 7/24/2017 11:30:13AM <br /> Assigned To: EE0005642 HENRY Assigned Date: 7/24/2017 <br /> Program/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> 10-15 GALLON DIESEL FUEL RELEASED TO ASPHALT. <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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RP:UPRR <br /> Site Location 1000 ROTH RP/DBA RP:UPRR,ATTENTION MIKE ALGOTS <br /> FRENCH CAMP,CA 95231 RP Address 1600 VERNON ST <br /> Cross Street ROSEVILLE,CA 95678 <br /> Billing Address 1600 VERNON ST <br /> Home Phone <br /> Phone Work Phone <br /> District 003-BESTOLARIDES,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN 19820005 <br /> Date Abated Inspector ID#: 3�w <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> DField Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> iice Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 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 RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Program Enforcement Action Form <br /> omplaint Reviewed by: Pe-2Updated by: ate: <br /> I Um <br /> 5104.rpt <br />