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0 Complaint Investigation Form IR Report#:5106 <br /> COMPLAINT ID: C00035956 Site Location: 1111 NAVY DR Account ID:AR0017514 <br /> Receivedby: EE0004636 BACKUS Received Date: 2/4/2013 <br /> Assigned To: EE0004636 BACKUS Assigned Date: 2/4/2013 <br /> Location Code <br /> Pmaram/Element Code 2547-Release Response STANDBY(Not in Use 8-2014) <br /> Nature of complaint: <br /> AMMONIA LEAK FROM REFRIGERATION EQUIPMENT <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City G C-Counter E-Code Enforcement <br /> M-Mail/Correspondenr O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0010514-ZACKY&SONS POULTRY,LLC OW0008514-Zacky&Sons Poultry,LLC <br /> RP DBA:ZACKY FARMS <br /> Site Location: 1111 NAVY DR RPAddmssPO BOX 12556 <br /> STOCKTON,CA 95206 <br /> FRESNO,CA 93778 <br /> Mailing Address P.O. Box 12556 Billing AddmssP.O. Box 12556 <br /> Fresno,CA 93778 Fresno, <br /> Phone 1st: 209-948-0129 EXT: Phone <br /> Wk: 559-443-2700 EXT: <br /> District Location: <br /> APN 16326007 <br /> * * ** * *** *** ** **** *** ** * * ABATEMENT SUMMARY ' * * * * * * " * " ` " " " * ' * " * " <br /> Status Employee ID and Name Abatement Date <br /> 01 EE0004636-BACKUS,GARRETT 3/21/2013 <br /> Abaternart Stals Codes <br /> 01-Field Abated 08-UnabletoVerify ]StYfieIL�rugC vOuplaotzseFdneCax# <br /> 02-Office Abated 10-P05IIDSLlstandard/Cimea>red-See FbrsirgFile 28-ICXID3Id,EHitH — bNiya'VideaEkinbied <br /> 03-NM Sent 11-NUtipleCmrltlaints-SeeActiNeCase# 2gF�QN�IILI�SS—Nija�id asl�tified <br /> 04-Notice to Abate issued 12-DARein edCrnrplaid-See Violation TracldMForm 5D IFADA ffimtPaRmai—Xi Ngmat A4zed <br /> 06II DParnitFaal*,SeeUkedFacilityFile 52•IFADA*nuf gjwd SeRcganldmdHIe <br /> 07-Rekaed to Other Agency 93LhpAod—CldWiplmt—C1411rrtAalable <br /> 51C6.rpl <br />