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• 5. Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C000410 Site Location: 25533 N HWY 99 FRONTAGE Account 16; <br /> Received by: EE0000025 SEDRA Received Date: 2/12/2016 Print Date: 2/16/2016 9:07:34AM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 2/12/2016 <br /> By_qram1Eh2mQnf :1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> NQ RUNNING WATER TO KEEP THE STAND CLEAN FROM DUST AND SMOG. NO GRADE OR REPORT POSTED FOR PUBLIC. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-MM l Correspondence O-Other EH Unit P-Phone <br /> I-Internet i Email , S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 25533 N H WY 99 FRONTAGE RP/DBA <br /> ACAMPO,CA RP Address <br /> Cross Street COLLIER RD <br /> Billing Address <br /> Nome Phone <br /> Phone Work Phone <br /> District i Location Code ; <br /> APN <br /> Date Abated Inspector 1D#: oefx11r1t7 <br /> _--------L----.__ _-- --- - ----------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status cod C 1 <br /> Circle appropriate,Status Code [[ <br /> [� 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -FIELD TFC t 'T 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-O IC ABA T <br /> �/V <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 5 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED � � 97-Disaster Planning and Response - <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original,Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PD-Permit Issued•Pending Well Installation <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 /> roll plaint Reviewed by: ate: Updated by: ate: <br /> 5104.rp1 <br />