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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046003 Site Location: 16750 N CLEMENTS RD Account ID. : <br /> Receivedby: EE0001420 NISSIM Received Date: 3/20/2018 Pdnt Date: 3202018 12:35:59PM <br /> Assigned To: EE0002089 SOOD Assigned Date: 3/20/2018 <br /> Pmorsm/Element 1311 -SUBSTANDARD HOUSING/CANNABIS <br /> Complainant: : <br /> <br /> <br /> Nature of com /aint: <br /> MARIJUANA GROW WITH 1 HOUSE,LARGE SHED AND 3 BARNS. <br /> Complaint Mode: S Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> _ --_ _--- --_-----_— _—_ —_-- —_—__--PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:XIAO XUN CHEN ETAL <br /> Site Location 16750 N CLEMENTS RP/DBA <br /> CLEMENTS,CA 95240 RPAddress 11361 NUCKOLS RD <br /> Cross Street BRANDT GLEN ALLEN,VA 23059 <br /> Billing Address 11361 NUCKOLS RD <br /> Home Phone <br /> Phone Work Phone <br /> District 004-W INN,CHARLES Location 99-UNINCORPORATED AREA <br /> APN 05320015 �l- <br /> Date Abated �6 Inspector ID#: �4Qekbj <br /> _--C--___ --_ ---_— — <br /> Send Referral to Referral Letter Sent by <br /> ReferralAddress /// Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> O6 Violations Cited-see Linked PROGRAM FACILITY FILE P2ost-f z,6 G 3 97-Disaster Planning and Response <br /> 07-Referred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form Sl-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omplaint Reviewed Date It <br /> Updated by: Date: % <br /> s10a rpt <br />