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0" V�L' Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046890 Site Location: 1021 INDUSTRIAL DR AccountlD: <br /> Receivedby: EE0000025 SEDRA Received Date: 6/11/2018 Pnnt Date: 6/11/2018 11:30:23AM <br /> Assigned To: EE0009488 WONG Assigned Date: 6/11/2018 <br /> Prooram/Element Code:4200-LIQUID WASTE PROGRAM <br /> Complainant: Complainant Not Specified Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> ON 6/10/18 AT APPROXIMATELY 4:00 PM,APPROXIMATELY 2,000 GALLONS OF INDUSTRIAL WASTE WATER WAS RELEASED INTO LITTLE <br /> JOHN CREEK. <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 INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:INGREDION INCORPORATED Responsible Party or Property Owner <br /> Site Location 1021 INDUSTRIAL RP/DBA <br /> STOCKTON,CA 95206 RPAddress <br /> Cross Street AIRPORT WAY <br /> Billing Address <br /> Home Phone : �, tg �— 7n �a.}� <br /> Phone Work Phone �� <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 17728014 <br /> Date Abated Inspector lD#: <br /> -------------- <br /> Send Referral to Relemal Letter a by <br /> Referral Address Date: <br /> Complaint Status Code: yC J �[ <br /> Circle appropriate Status Code ____ll�)) <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06 Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> ,(y�- Hered to OtherAgency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> tl//JOJB°1J-7 ble to Verify Alleged Complaint MN-EHD Monitoring Status <br /> POSTED SUBSTANDARD/UNSECURED-See Housing File PID <br /> 11 <br /> Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEEACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form $1-Tank pumped - <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> U <br /> omp aint Reviewed by: ate: Updated by:IL <br /> a ✓ <br /> 5104.Tt <br />