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Complaint Investigation Form <br />COMPLAINT ID: C00036021 Site Location: 15999 CORRAL HOLLOW RD <br />Receivedby: EE0001422 CACAPIT <br />Assigned To: EE0001422 CACAPIT <br />Program/Element Code:2546 - Release Response Day <br />Complainant: : <br /> <br /> <br />Received Date: 4/14/2013 <br />Assigned Date: 2/14/2013 <br />Nature of complaint: <br />SULFURIC ACID WAS RELEASED DUE TO EQUIPMENT MALFUNCTION <br />Home Phone <br />Work Phone <br />E -Mail Address <br />Account ID: AR0003539 <br /> <br />Report #: 5104 <br />Print Date: 2/14/2013 9:19:09AM <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 -Sheriff's Office <br />FACILITY INFORMATION OWNER INFORMATION <br />Facility: FA0003934 - LAWRENCE LWERMORE NAT'L LAB <br />Site Location CORRAL HOLLOW RD <br />TRACY, CA 95376 <br />Cross Street HWY 580 <br />Mailing Address: PO BOX 808 L-621 <br />LIVERMORE, CA 94551--080 <br />Phone :925-423-7665 <br />District 005 - ORNELLAS, LEROY <br />APN 25114005 <br />Owner: OW0002908 - U S DEPT OF ENERGY (DOE) <br />RP/DBA <br />LAWRENCE LIVERMORE NATL LAB <br />RP Address <br />CORRAL HOLLOW RD <br />TRACY, CA 95376 <br />Billing Address <br />PO BOX 808 L-621 <br />LIVERMORE, CA 94551-0808 <br />Home Phone <br />: 925-423-7665 <br />Work Phone <br />Location Code 99 - UNINCORPORATED AREA <br />Date Abated (vl+/ a-1 J Inspector ID <br />i <br />Send Referral to <br />Referral Address <br />Complaint Status Code: 0 <br />Circle appropriate Status Code <br />01 - FIELD ABATED <br />02 - OFFICE ABATED <br />03 - NAI SENT <br />04 - NOTICE TO ABATE ISSUED <br />OS - DA - RCEMENT ACTION INITIATED <br />6 - EHDFACILITY- see Linked PROGRAM FACILITY F <br />07 - REFERRED TO OTHER AGENCY <br />08 - UNABLE TO VERIFY <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />5104, rpt <br />Referral Letter Sent by <br />Date: <br />12 - DA Referred Complaint -See Violation Tracking Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - FOODBORNE ILLNESS - No Major Violations Identified <br />29 - FOODBORNE ILLNESS - 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 />99 - UNSPECIFIED -Old Complaint -No Original Found <br />CL - Case Closed <br />