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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039775 Site Location: 3503 N PERSHING Account ID: <br /> Received by: EE0001421 RIVERA <br /> Received Date: 5/29/2015 Print Date: 6/l/2015 12:02:55PM <br /> Assigned To: EE0001421 RIVERA Assigned Date: 5/29/2015 <br /> Proarem/Elemenr Code.2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> A MOTOR VEHICLE ACCIDENT OCCURED SEVERAL DAYS AGO AND THE OIL SPILLED WAS NOT FULLY CLEANED UP. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Sd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement WMail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> ----- ------------- — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RP;UNKNOWN <br /> Site Location 3503 N PERSHING RPiDBA <br /> STOCKTON,CA 95204 RP Address <br /> Cross Street PRINCETON <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 11140019 p�" <br /> Date Abated r / Inspector ID#: �/�e�i-M�p <br /> ----- -- -- --------------- <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 see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-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 /> omp amt ewewe y: pat y: a <br /> 5104.rpt O <br />