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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00047889 Site Location: 2629 E WATERLOO RD Account ID: <br /> Received by: EE0009830 SAUERS Received Date: 12/5/2018 Print Date: 12/5/2018 4:58:59PM <br /> Assigned To: EE0009488 WONG Assigned Date: 12/5/2018 <br /> ProgramJElement Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> COMPLAINANT ALLEGES THERE IS RAW SEWAGE BACKING UP INTO THE TUB FROM THE DRAIN <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors f City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> ----------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 2629 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property ON•ner:GROUP IV POMONA PROPERTIES LTD <br /> DBA <br /> Owner address <br /> Billing Address <br /> <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 1192103 <br /> Date Abated 1(49t <br /> CInspector ID#: <br /> Send Referral to Referral Lett nt by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> e appropriate Status Code <br /> U201 Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> -Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewedy: Dat ed by: ate: I—C <br /> 5104.rpt � <br />