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J4 V " Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00031899 Site Location: 13951 N BECKMAN RD Account ID: <br /> Received by: EE0005944 ESCOTTO Received Date: 4115/2010 Print Date: 4/16/2010 9:49:24AM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 4/16/2010 <br /> Program/Element Code:4300-WELL PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of com laint: <br /> ABANDONED AG WELL ONSITE, <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> 1-Internet I Email S-Sheriffs Office <br /> -------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Fume: Responsible Party or Property Owner:CHUCK IRWIN&MARK GABBYS li <br /> Site Location 13951 N BECKMAN RPIDBA CHEROKEE MEMORIAL PARK <br /> LODI,CA 95240 RPAddress 13823 N BECKMAN RD <br /> Cross Street BECKMAN LODI,CA 95240 <br /> Billing Address 13823 N BECKMAN RD <br /> Nome Phone • <br /> Phone Work Phone <br /> District 004-VOGEL,KEN Location Code 02-LODI <br /> APN 06103031 <br /> Date Abated Inspector.' <br /> -------------------------------------------- <br /> Send <br /> ----_..-_-.---------- ------- __._ _.-_--Send Referral to Referral Letter Sent by 4 <br /> Referral Address Date: <br /> Complaint Status Code:&f <br /> Circle appropriate Status Code f <br /> 01 - IELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record Fite <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE rE <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104,rpt <br />