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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00037499 Site Location: LOWER SACRAMENTO RD Account ID <br /> Received by: EE0008709 DE LA ROSA Received Date: —J124/20J*- ZOI V Print Date: 1/24/2014 10:16:22AM <br /> Assigned To: EE0008709 DE LA ROSA Assigned Date: 112A— 2 220;4 l <br /> Program/Element Code:2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> ONE 5 GALLON OF UNKNOWN LIQUID FOUND WHILE CLEARING BRUSH AT DRY CREEK BRIDGE. <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-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property[Varve: Responsible Party or Property Owner <br /> Site Location LOWER SAC RP/DBA <br /> COLLIERVILLE,CA RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated 1,Z .' L' Inspector ID#: <br /> Send Referral to UU Referral LetterSentby `1 <br /> Referral Address Date: <br /> Complaint Status Code:U 1 <br /> Circle appropriate Status Code 1 <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01.VELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> �.�NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04 NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />