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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00041212 Site Location: 30000 KASSON RD 1 A 18 REDWOOI Account ID: <br /> Receivedby EE0006219 DUNCAN Received Date: 3/17/2016 Print Dater 3/172016 2:38:38PM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 3/17/2016 <br /> Pmaram/E/emenf Code:4200-LIQUID WASTE PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcom taint: <br /> BROKEN SEPTIC AND AWFUL SMELL AT SITE. <br /> Complaint Mode: P 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-Sherifrs Office <br /> ------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:DAVID HEWITT <br /> Site Location 30000 KASSON IA118 REDWOOD RPiDBA SAN JOAQUIN RIVER CLUB <br /> TRACY,CA 95304 RP Address <br /> <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 24115 1-0 11 <br /> Date Abated 44r Inspector ID#.: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address \ may/ Date: <br /> Complaint Status Code: O �/ <br /> Circle appropriate Status Code o <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> IELD ABATED 28-Alleged FBI-No Major Violations Identified <br /> 2 OFFICE ABATED 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY <br /> OB-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by. le' Updated y: ate: <br /> Z <br /> 51 N rpt <br />