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Complaint Investigation Form <br />Report #: 5106 <br />COMPLAINT ID: C00042330 Site Location: 9000 W VERNALIS RD Account ID: AR0043841 <br />Received by: EE0000025 SEDRA Received Date: 9/30/2016 <br />Assigned To: EE0005366 MEDI NA Assigned Date: 9/30/2016 <br />Location Code99 -UNINCORPORATED AREA <br />ProgramlElement Code: 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />COMPLAINANT ALLEGES THAT ON 9/27/2016 AT APPROXIMATELY 9:50 AM, 1 LAMP RUPTURED ON A UV REACTOR. 1 BULB IS EQUIVALENT <br />TO 2.3 GRAMS OF MERCURY. IT HAS BEEN CLEANED AND DID NOT IMPACT WATER WAYS. <br />Complaint Mode P Complaint Mode Codes A -Agency Referral B-Bd of Supervisors/City Ci C -Counter E -Code Enforcement <br />M-Mail/Corresponden( O -Other EH Unit P -Phone <br />District 005 - ELLIOTT, BOB <br />APN 25328005 <br />Location: 99 - UNINCORPORATED AREA <br />************************ ABATEMENT SUMMARY *********************** <br />Status Employee ID and Name <br />01 EE0004636- BACKUS, GARRETT <br />Abatement Status Codes <br />01 -Field Abated <br />02 -Office Abated <br />03- AJ Ser>t <br />04Notice to Arte Issued <br />OGIIHD Penmt Facility --See Linked Facility He <br />07-Refenredto Other Agency <br />5105.rpt <br />Abatement Date <br />5/31/2017 <br />0 -Unable to Verify 1SAtRreHaErgaf,,o-n-kN�-S2eA±Re(�e# <br />10-POSTIDSkstatxlrdUBccued-See HotbirgFAe aI 0CEDJ_REII1H!SS—I M_gcr`hd;dicrsIdatfied <br />11 -Multiple Ccnplan1s-Sae Active Case # 2)-FlEz NREMT TI —),�a VidaticrB M31 ted <br />12-DAReferredCmplmrt See ViclationTmclargFam LL�PDA irail�afanecl—I�bA}�taiaiR ued <br />52LIFADAh�aa tPa1> ad SavArganFxadFAe <br />9:)-LihF ifie3—C1dChTpimt—QU PlrrtA- laWe <br />