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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00043764 Site Location: 19133 LIBERTY RD Account ID: <br /> Receivedby: EE0006219 DUNCAN Received Date: 7/7/2017 Print Date: 7/7/2017 8:23:14AM <br /> Assigned 7o: EE0002670 NAIDU Assigned Date: 777/2017 <br /> Procr-mrPlement CodT 200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> <br /> <br /> <br /> <br /> <br /> Nature of com faint: <br /> SPILLED OIL,HAZARDOUS WASTE <br /> A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> Complaint Mode: P Complaint 70�� <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Intemel/Email S-Sherifrs Office <br /> ————— <br /> ————————————————— <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:WILLIAM AND CELINA MULHAN <br /> Site Location 19133 E LIBERTY RP)DBA : <br /> CLEMENTS,CA 95227 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00911011 <br /> Date Abated 'U Inspector ID III: <br /> Send Referral to <br /> Referral Letter Sent by <br /> Date: <br /> Referral Address �7 <br /> Complaint Status Code: // <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Field Response-Volations Cited and Corrected 28.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 Program Enforcement Action Form <br /> ate: Updatedy: a <br /> omp ain eviewe y: <br /> 5104.rpt <br />