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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C0004121 111_l Site Location: 30000 KASSON RD 1A117 REDWOOI Account ID. <br /> Receivedby: EE0006219 DUNCAN <br /> Received Date: 3/17/2016 Print Date: 3/17/2016 2:39:12PM <br /> Assigned To: EE0006219 DUNCAN Assigned Date: 3/17/2016 <br /> Procrem/E/ement Code:1315-OCCUPIED RV <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> OCCUPIED RV IN REAR YARD AT SITE <br /> Complaint Mode: p ComplaintMode 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-Sher ffs Office <br /> ------------- ----------- ------------------ - ---- - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner MICHAEL TENNIS <br /> Site Location 30000 KASSON IA117 REDWOOD RRVBA SAN JOAQUIN RIVER CLUB <br /> TRACY,CA 95304 RPAddmw <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 241150001 <br /> Date Abated l 16 I 'b ——Inspector ID#: <br /> � <br /> -- --- --- ---- —�--'�^ — -- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: y <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -FIELD ABATED 28-Alleged FBI-No Major Violations Identified <br /> 02 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 /> 08-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 /> omp aint Reviewed by: V L t G t�� ate'. -7 t Updated y; ael <br /> 5104.mt ''I <br />