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G�h/1 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047484 Site Location: 18590 E WALNUT ST Account ID: <br /> Receivedby: EE0009819 BENIAMINE Received Date: 9/25/2018 Print Date: 9/25/2018 11:20:20AM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 9/25/2018 <br /> Program/Element Code:1315-OCCUPIED RV <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> RECREATIONAL VEHICLE PARKED ALONG PROPERTY LINE WITH A HOSE CONNECTED TO THE GARAGE. IN FRONT OF THE <br /> RECREATIONAL VEHICLE ARE CAMPING EQUIPMENT AND TRASH. CS-1801356 <br /> Complaint Mode: E Complaint Mode Codes A-Agency Referral B-Bd of Sup <br /> <br /> Email S-Sheriffs Office <br /> ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:MARK R CHRISTIANSEN <br /> Site Location 18590E WALNUT RP/DBA : <br /> CLEMENTS,CA 95227 RP Address PO BOX 648 <br /> Cross Street SECOND LODI,CA 95241 <br /> Billing Address PO BOX 648 <br /> Home Phone <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 01925006 <br /> Date Abated1 31nlU <br /> � Inspector ID#: <br /> --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> S-Unable to Verify Alleged Complaint'Axe""o yw 6-f"7v S MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp aint Reviewed by: Date'. p a e y: ate:�� 1 <br /> 5104.rpt <br />