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Complaint Investigation Form ' Report#'5104 <br /> COMPLAINT ID: C00015479 Site Location: 30,000 KASSON RD 1 E22 account 1D: <br /> I <br /> Received by: EE0005366 MEDINA Received Date: 2/5/2001 <br /> Assigned To: EE0007380 SHIH assigned Date: 2/5/01 <br /> Program/Element Code: 4200-LIQUID WASTE PROGRAM I <br /> Complainant: Home Phone: <br /> i ' <br /> Address: Work Phone: <br /> Nature of complaint: <br /> LARRY KOHLER PRESIDENT OF SAN JOAQUIN RIVER CLUB. <br /> SURFACING SEWAGE UNDER SINGLE FAMILY DWELLING TENANT DE6BIE MATTOS. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council{ E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0012503-SAN JOAQUIN RIVER CLUB Owner: OW0009706-SAN JOAQUIN RIVER CLUB <br /> RPIDBA: SAN JOAQUIN RIVER CLUB <br /> Site Location: 30000 KASSON RD <br /> RP Address: <br /> <br /> <br /> Mailing Address: 30000 KASSON RD <br /> TRACY,CA 95376 Billing Address:: <br /> <br /> <br /> <br /> <br /> District Location Code <br /> APN <br /> i <br /> Date Abated ' <br /> Inspector <br /> I <br /> Send Referral to: <br /> Referral Address: <br /> r � <br /> I <br /> I' <br /> Referral Letter Sent by: <br /> Date: <br /> i <br /> IT <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case- New Complaint See Active Case# <br /> 03-NAI Sent 16- Letter Sent To Tenant i <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-EnforeementAction 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-Transferred 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 /> I <br /> 3 <br /> 1 <br /> 0104.rpt <br />