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1—U1 VL—R1N1 W = l.VV1V/L0 U4mk-c • /� <br /> Inspector : CARRUESCO Location: 3201 W BENJAMIN HOLT DR 91 <br /> COMMENTS <br /> #4: -IL 4: Q� <br /> date/4/'Wby:�(, <br /> A <br /> date S/ n/ R b b y:IL- Ce�Q. �,�,. -- A)J 40 `Y'k+`-..`a2, <br /> #5 : G�— <br /> date 9� by: <br /> .a <br /> date I I by: <br /> date—/—/_ by: <br /> k <br /> date I_I_ by: <br /> #7 <br /> date—/—/— by: <br /> date --- by, <br /> date—/—/_ by: <br /> date—/—/— by: <br /> date—/—/— by: <br /> a <br /> date_/_/_ by: <br /> date—/______/____ by: p <br /> Resolved/Abated by: # gqj&- _ Name Date <br /> Violations: <br /> Enforcement: <br /> CORRESPONDENCE & LEGAL DATES - <br /> NOTICE TO ABATE sent / / Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> Fire Dept ll _ Police/Sheriff Dept _I I _ _ Building/Housing Deptll <br /> PH Nursing / `IAnimal Control l�l_ _ District Attorney <br /> State ODW _ _I Planning Dept �{ l <br /> Cal-EPA DTSC and/or RWOCB _�_ 1T public Works Dept <br /> Third Party Billing Information: <br /> Dame: C/D: <br /> Address: <br /> City: State: ZIP: <br /> Reviewed by: Date: <br /> Complaint Record Updated By : _ bate = �/� <br /> Revised Report 95104 11/23/94 <br /> oal <br />