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COMPLAINT # : C0007061 Date: 10/16/96 <br /> Inspector : MICHAEL COLLINS Location: 3201 W. BENJAMIN HOLT SUITE 99 <br /> COM KENT$ - <br /> #4= <br /> date/olam/`?4 by:_W <br /> date 1__j_ by: <br /> #5: <br /> date l /_ by: 4 <br /> date J__j by Ift <br /> #6. <br /> date I /_ by: <br /> date_/_/_ by: <br /> #7- <br /> date_/ /_ by: <br /> date I I_ by: _ .._.. <br /> #8: <br /> date—/—/— by: <br /> date--J-1— by: <br /> date_/ /_ by: <br /> date—/—/— by: <br /> date,_,_/h.by: <br /> Resolved/Abated by: 1 0 3(o9Nave_ �} � S�• _ Date/p 11 L1-I-,G <br /> violations: <br /> Enforcement: <br /> CORRESPONDENCE & LEGAL DATES - <br /> NOTICE TO ABATE sent I 1 Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> —Fire Dept I I_ Police/Sheriff Dept l I_ _ Building/Housing Dept <br /> '—PH Nursing r / I` _ Animal Control —I /_ _ District Attorney _I I_ <br /> State ODWI Planning Dept <br /> Cal-EPA DTSC and/or 60'5- / /_ Public Works Dept <br /> Third Party Billing Information: <br /> Name: ._. . - CIO: _ <br /> Address: <br /> City: State: ZIP: <br /> Reviewed by: b Date: <br /> Complaint Record Updated By: _ .__ .,___. Date, <br /> Revised Report 15104 11/23/94 <br />