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' Complaint Investigation Form Report#:5106 <br /> COMPLAINT ID: 000038393 Site Location: 1960 W ELEVENTH ST Account ID: AR0004291 <br /> Received by: EE0009001 MANZO Received Date: 8/22/2014 <br /> Assigned To: EE0009001 MANZO Assigned Date: 8/22/2014 <br /> Location Code <br /> Program/Element Code: 2546-Release/Spill Response(excluding Joint Team) <br /> Nature of complaint: <br /> ONE GALLON OF SUPREME FUEL LEAKED DURING VEHICLE FUELING AT PUMP#2. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City G C-Counter E-Code Enforcement <br /> M-Mail/Correspondent O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0004547-CHEVRON STATION#201383 OW0001987-CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEV <br /> RPDBA:None Specified <br /> Site Location: 1960 W ELEVENTH ST RPAddress6001 BOLLINGER CANYON RD <br /> TRACY,CA 95376 <br /> SAN RAMON,CA 94583 <br /> Mailing Address P.O.BOX 6004,ATTN:PERMIT DESK Billing AddressP.O.BOX 6004,ATTN: PERMIT DESK <br /> SAN RAMON,CA 94583 SAN RAMON, <br /> Phone 1st: 209-836-3181 EXT: Phone Hm: 925-842-9002 <br /> Wk: 925-842-9002 EXT: <br /> District 005-ELLIOTT,BOB Location: <br /> APN 23402001 <br /> ************************ ABATEMENT SUMMARY *********************** <br /> Status Employee ID and Name Abatement Date <br /> 06 EE0009001 -MANZO,ELENA 9/26/2014 <br /> Abatement Status Codes <br /> 01-Field Abated 08-Unable to Verify I5-Active Hamig CasD-New Cbr plaint-See Active Case# <br /> 02-Office Abated 10-POSTED Sulst uxbrd/Unseclu-ed-See Housing File 28-FOODBOURNE IL NESS—No Noor Violations Identified <br /> 03-NAI Sent 11-Multiple Complaint See Active Case# 29-FOODBOLJINM ILLNESS—Major Violations Identified <br /> 04-Notice to Abate Issued 12-DA Referred Complaint-See Violation TrackT Forrr50-LEAD Assessment Ftrfon7nd—No Abatement Regdwed <br /> 06-EfD Pmt Facility-Sec Linked Facility File 52-LEAD Abatement Requited—Sae Rugam Record File <br /> 07-Referred to Other Agency 99-Ihnspedfied—Old Complaint—Original notAvailable <br /> 5106.rpt <br />