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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: 000033508 Site Location: 24323 N HWY 99 Account ID: <br /> Received by: EE0005642 HENRY Received Date: 4128/2011 Print Date: 7/27/2017 1:28:07PM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 4/2912011 <br /> PrQgrram/Element CodeA200-LIQUID WASTE PROGRAM <br /> Complainant: : <br /> <br /> <br /> <br /> Nature of complaint: <br /> 8. MR SINGH STATED'SOMEONE LEFT WATER RUNNING ALL NIGHT 4N 4126f11 IN <br /> SURFACING SEWAGE, INSPECTOR NOTIFIED 4127&4!2 <br /> THE BATHROOM CAUSING TANK TO OVERFLOW.' TANK WAS SUPPOSE TO HAVE BEEN PUMPED 4127!11, BUT AS OF 3 PM ON 4128111, <br /> TANK HAS NOT BEEN PUMPED, OPERATOR STATED IT WILL BE DONE BY 5:30 PM ON 4/28111. <br /> Complaint Mode: 0 Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> I-Internet!Email S-Sheriff's Office — <br /> PROPERTY INFORMATION` OWNER INFORMATION <br /> Facility:FA0004345-J AHANT FOOD N FUEL STOP Owner- OW0005112-SINGH,BACHITAR <br /> Site Location 24323 N HWY 99 RP/DBA JAHANT FOOD N FUEL STOP <br /> ACAMPO,CA 95220 RPAddress <br /> <br /> <br /> <br /> <br /> Phone :209-333-2972 EXT: Work Phone - <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00516019 J <br /> Date Abated `7 lit t �� Inspector ID#:------ ------------- <br /> Send <br /> - ---------- — <br /> Send Referral to Referral Letter Sent by <br /> Date: <br /> Referral Address <br /> Complaint Status Code: V V <br /> Circle appropriate Status Cade <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 213-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 /> o6-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 Program Enforcement Action Form <br /> r <br /> omp amt Reviewed by: at pdate y: <br /> 5104 rpt <br />