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Complaint Investigation Form Report*5104 .� <br /> COMPLAINT ID: C000139661 Site Location: 18950 N HWY 99 Account!D: AR0003957 <br />+ Received by: EE0000099 Frost (( Received Date: 3/31/2000 <br /> Assigned To: EE0009157 0ARQQ-LG6' lfl•O Assigned Date: 3131100 <br /> Program/Element Code: 4200-LIQUID WASTE PROGRAM <br /> Complainant: LUWANA Home Phone: <br /> Address: Work Phone: 209-334-6357 <br /> k <br /> Nature of complaint: <br /> MOTHER WENT TO SCHOOL, BOYS BATHROOM IS FILTHHY, URINE SMELL IN STRONG, SON IS 9 YRS OLD AND REFUSES TOGO TO <br /> BATHROOM. SON DEFACATED IN PANTS BECAUSE SON REFUSES TO USE BATHROOM. SON STATES URINE AND FECES ON TIOLET <br /> SETS, FLOOR. <br /> Complaint Mode Complaint Mode Codes A-Agency Referr B-ed of Supervisors/Cih C-CountE E-Code Enforceme <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION <br /> OWNER INFORMATION <br /> Facility: FA0004275-MOKELUMNE RIVER SCHOOL OW0003190-GOEHRING,CLIFFORD <br /> Site Location: 18950 N HWY 99 DBA: MOKELUMNE RIVER SCHOOL <br /> i LODI,CA 95241 c RP Address: 18950 N HWY 99 , <br /> Mailing Address: PO BOX 315 C <br /> q Billing Address: 18950 N HWY 99 <br /> LODI,CA 95241 <br /> Phone: 1st: 209-368-7271 �0 LODI,CA 95241 i <br /> Phone <br /> I : <br /> ^ I <br /> GOO L� Wk: <br /> District: 004-SEIGLOCK,JACK Location Code: 02-LODI <br /> APN: <br /> Date Abated: U <br /> Inspector.- <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: Date: <br /> Complaint Status Code: D <br /> D1 Field Abated 10-Substandard Property-See MOUSING ABATEMENT File <br /> 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-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 /> 0104.rpt <br />