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Complaint Investigation Form Report#: 5106 <br /> COMPLAINT ID: C00036435 Site Location: 18119 AVENA RD Account ID.-AR0029569 <br /> Received by: EE0002622 ESCOTTO Received Date: 5/28/2013 <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 5/28/2013 <br /> Location Code <br /> Program/Element Code: 4700-WASTE TIRE PROGRAM <br /> Nature of complaint: <br /> FACILITY HAS SEVERAL WASTE TIRE MANIFESTS FOR PICKUPS BY A HAULER.THESE MANIFESTS HAVE NOT BEEN SUBMITTED TO CAL <br /> RECYCLE <br /> Complaint Mode O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City C C-Counter E-Code Enforcement <br /> M-Mail/Corresponden( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0016687-BRUCE MELLOR OW0013528-BRUCE MELLOR <br /> RPDBA:BRUCE MELLOR <br /> Site Location: 18119 AVENA RD RP Addressl 8119 AVENA RD <br /> ESCALON,CA 95320 <br /> ESCALON,CA 95320 <br /> Mailing Address 18119 AVENA RD Billing Address18119 AVENA RD <br /> ESCALON,CA 95320 ESCALON, <br /> Phone 1st: 209-531-4512 EXT: 0 Phone <br /> Wk: Number Not Specified <br /> District Location: <br /> APN 20504005 <br /> * * * * * * * * * * * * * * * * * * * * * * * * ABATEMENT SUMMARY * * * * * * * * * * * * * * * * * * * * <br /> Status Employee ID and Name Abatement Date <br /> 07 EE0002622-ESCOTTO, BENJAMIN 5/30/2013 <br /> Abatement%4us Codes <br /> 01-Field Abated 08-UnabletoVerify 1SAtael�I��gC I�wCtrtpl�t�et�fieC�e# <br /> 02-Office Abated 10-PO=Substanda-d/UhsectQed-See Hosing He 28-FOO D 3CLRF-111,55 MNbjcrVdtcrsIdatified <br /> 03-NM Sent 11-Nl.iltiple Complaints-See Active Case# 29-R7®QAREHJ-NS-4crMldatiar Ider0ed <br /> 04-Notice to Abate Issued 12-DA Refer Oomplairt-See Violation Tracking Form 50.1E 1)AMm1%kff ed MAl&rat% ued <br /> 06-EF D Permt Facility-See Linked Facility File 52IFADAIrrat Reg.ued—SeeRTM FaoatlFile <br /> 07-Rein-edtoOther Agency 99-U-gxded—OdGnp]airt—Q*alrKtAwildie <br /> 5106.rpt <br />