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COMPLAINT # = 00010993 <br /> Inspector_LINEBAUGHT_ Location:_3672�W�COUNTRY—CLUB <br /> ��__� <br /> COMMENTS - � <br /> date I I_by: <br /> #5 <br /> date—L--j— by <br /> date I l�by: <br /> #G <br /> date__„/T/_ by: <br /> date_//___,_ by:— <br /> #7- <br /> date—/__j— <br /> y:#7dateI I_ by: <br /> date l_l_by: <br /> #8 <br /> date /_/_„_, by. <br /> date /—/_ by: <br /> date—/---j— by: <br /> date___,../—/---- by <br /> date__/ /_ by: <br /> Resolved/Abated by; 15-56;6 Name'S1 — Date 5;�lC9\ 125­�- <br /> Violations, <br /> Enforcement: <br /> CORRESPONDENCE & LEGAL DA <br /> NOTICE TO ABATE sent _ Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> _ Fire Dept J�/ _ _ Police/Sheriff Dept _l__ l_ ,Building/Housing Dept <br /> PH Nursing / l __ _ Animal Control l�l _ District Attorney I_l� <br /> —State DOWI I r _ Planning Dept <br /> Cal-EPA DTSC and/or RWQCB _f IPublic Warks Dept <br /> Third Party Billing Information <br /> Name: C/0; <br /> Address; <br /> City: State: ZIP: <br /> Reviewed by: Date <br /> Complaint Record Updated By: S Date: <br /> Revised Report 15104 11/23/34 <br />