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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000042007 Site Location: 15519 S KELSO RD Account ID <br /> Receivedby: EE0000025 SEDRA Received Date: 8/8/2016 Print Date: 8/8/2016 11:22:47AM <br /> Assigned To: EE0000321 GC+09IRA D..t.. C,Ar J Assigned Date: 8/8/2016 <br /> Prooram/Element Code:1315-OCCUPIED RV <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> OCCUPIED RV.PLEASE CALL COMPLAINANT WITH FINDINGS. <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 /> l4ntemet/Email S-Shenffs Office <br /> -------------- - ---- -------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:JOANNE MIDDLETON FRUDDEN TR <br /> Site Location 15537 S KELSO RPiDBA <br /> TRACY,CA 95391 RP Address <br /> Cross Street rim 17"1 -1 SS6 <br /> Billing Address <br /> Home Phone n Y � �vmQN _ 50 <br /> K 0-C ToaNc\,_ <br /> Phone Work Phone I`OD 92f 5-- 32,3 _ a690 <br /> District 003-BESTOLARIDES,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN 20902020 <br /> Date abated (7 112, Inspector ID#: (gncgK 31 b--o`j2.} <br /> Send Referral to VI Re <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Ot Field Response-Violations Cited and Corrected 26-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-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-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint 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'. ateUp ate y: ate�7 <br /> 5104 rpt <br />