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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00014451 Site Location: 14000 E HWY 88 Account ID: AR0005030 <br /> Received by: EE0000606 TREVENA Received Date: 7/11/2000 <br /> Assigned To: EE0000644 NORGARD Assigned Date: 7/11/00 <br /> Program/Element Code: 4400-SOLID WASTE PROGRAM <br /> Complainant: CITIZEN-JOE SALSMAN Home Phone: <br /> Address: Work Phone: 209-727-5035 <br /> Nature of complaint: <br /> ON 7/5 OR 7/6,COMPLAINANT SAW THE GREASE TRAP OR SEPTIC TANK BACK UP ONTO THE GROUND ON THE SOUTH SIDE OF THE <br /> BUILDING. IN ADDI"PION,THE LIDS TO THE SEPTIC TANK ARE NOT SECURED <br /> Complaint Mode P Complaint Mode Codes A-Agency Refers B-Bd of Supervisors/Ciq C-Count( E-Code Enforoeme <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0004659-JACKPOT FOOD MART OW0005486-HAYWOOD, RANDY&DAWN <br /> Site Location: 14000 E HWY 88 DBA: JACKPOT FOOD MART <br /> LOCKEFORD,CA 95237 RPAddress: PO BOX 262 <br /> Mailing Address: PO BOX 1362 <br /> LOCKEFORD,CA 95237 Billing Address: PO BOX 262 <br /> Phone: 1st: 209-727-5442 WALLACE,CA 95254 <br /> Phone: Hm: 209-763-5818 <br /> Wk: <br /> District: 004-SEIGLOCK,JACK Location Code: 99-UNINCORPORATED AREA <br /> APN: <br /> Date Abated: <br /> Inspector: 2 <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: Date: <br /> Com�plaint Status Code: <br /> emField Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 2-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04- Notice To Abate Issued 17- 15-Day Letter Sent <br /> 05- Enforcement Action Initiated 50- Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52- Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53- Lead Hazard Visual Inspect Satisfactory (4) <br /> 08-Invalid/Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09- Foodborne Illness 54- Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12- Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13- Enforcement Case-Transfeped To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14- Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />