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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00039Z Site Location: 27635 BIRD RD Account lD <br /> Rece/vedby: EE0006219 DUNCAN Received Date: 6/3/2015 Print Date: 6/3/2015 12:06:35PM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 6/3/2015 <br /> Proaram/Element Cade:4200-LIQUID WASTE PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> INSTALLING SEPTIC SYSTEMS WITHOUT PERMITS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Shenffs Office <br /> -- --- - - ----------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SERVANDO V DURAN ETAL <br /> Site Location 27635 BIRD RP/DBA <br /> TRACY,CA 95376 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 25212002 <br /> Date Abated ../ Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: �2 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE If <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 6 REFERRED TO OTHER AGENCYC- �/0 9 CL-Case Closed <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 /> omp aint Reviewed b Date: ,7 Updated byDate: <br /> 17 <br /> 9oa rpt <br />