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Complaint Investigation Form <br />COMPLAINT ID: C00015976 Site Location: 1100 S MAIN ST <br />Received by: EE0009903 WILSON Received Date: 5/11/2001 <br />Assigned To: EE0009903 WILSON Assigned Date: 5/22/2001 <br />Program/Element Code: 2547 - Release Response STANDBY <br />Account ID: <br />Location Code04 - MANTECA <br />Nature of complaint: <br />REPORT OF 25 GALLON SPILL AT STATION. NONE TO STORM DRAIN. <br />Complaint Mode P Complaint Mode Codes A -Agency Referral B-Bd of Supervisors/City C, C -Counter E -Code Enforcement <br />M-Mail/Correspondent O -Other EH Unit P -Phone <br />FACILITY INFORMATION <br />Facility: FA0007464 - MAIN STREET ARCO AM PM* <br />Site Location: 1100 S MAIN ST <br />MANTECA, CA 95337 <br />Mailing Address 1100 S MAIN ST <br />MANTECA, CA 95337 <br />Phone 1st: 209-825-6784 <br />District 005 - ORNELLAS, LEROY <br />APN <br />Status Employee ID and Name <br />01 EE0009903 - WILSON, DOUG <br />Abater itt Status Codes <br />01 -Field Abatted <br />02 -Office Abated <br />03 -NAI Sent <br />04 -Notice to Arte Issued <br />06-EHD Parrot Facility -See Linked Facility File <br />07 -Referred to Other Agency <br />5106. rpt <br />OWNER INFORMATION <br />OW0014801 - JSKS ENTERPRISES INC <br />RP DBA:None Specified <br />RP Address67 BARNES LN <br />FREMONT, CA 94536 <br />Billing Address67 BARNES LN <br />FREMONT, <br />Phone Hm: 510-468-2371 <br />Wk: 209-825-6784 <br />Location: 04 -MANTECA <br />Report #: 5106 <br />ABATEMENT SUMMARY *********************** <br />Abatement Date <br />8/15/2002 <br />08 -Unable to Verify 15 -Active Housing Case -New Calplaint-See Active Case # <br />10-PCSIID Sulrt ids d/Ursectred-See f -busing File 28-FOODBOURNF_ ILLNESS—No M�or Violations Identified <br />11 -Multiple Con -plaints -See Active Case # 29-FCODBCLJNRE ILLNESS —Nt or Violations Identified <br />12 -DA Referred Complaint -See Violation Tracking Fa-tr50-LEAD Assessnm t Perfor red —No Abetema t Requ tred <br />52 -LEAD Abaenert Required — See Rug= Record File <br />99-Unspecified—Old Conplairt—Original not Available <br />