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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COTQBWOJS Site Location: E Liberty and Elliott Rd AccountlD. : <br /> Receivedby: EE0009001 MANZO Received Date: 5/7/2017 Print Date: 5/8/2017 11:49:10AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 5/8/2017 <br /> Prooram lem nt QQU2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> Approximately 60-gallons of transformer oil spilled onto the roadway,the shoulder and irrigation ditch area immediately north of Liberty and Elliott Rd <br /> intersection,adjacent to 12445 E Liberty Road.,Galt, CA <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-Shenfrs Office <br /> -------------- ---------------- ------------------- <br /> PROPERTY <br /> _ __ __ __ _ ___ _ __ ___ _ _ _ _PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:PGE Responsible Party or Property Owner:PGE <br /> Site Location Elliott RPIDBA <br /> GALT,CA 95632 RPAddress 1108 Murphys Grade Rd <br /> Cross Street -Li verty. �,\ r_\ ANGELS CAMP,CA <br /> J Billing Address 1108 Murphys Grade Rd <br /> Home Phone :209-736-6426 <br /> Phone Work Phone <br /> District : Location Code <br /> APN <br /> Date Abated — Inspector/D#: — fix <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT we ACTIVE CASE# <br /> Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 01 <br /> 0Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Repred-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-ReHerred to OtherAgency <br /> 08.Unable to Verity 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 Violation Tracking Form <br /> ompaint Revieored by: Updated y: ate: <br /> 5104 rpt <br />