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I <br /> f A Report#`.5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C00015486 Site Location: 10 W MOSSDALE RD#11 Account ID: AR0003862 <br /> Received by: EE0000997 K Received Date: 1/6/2001 <br /> Assigned 70: EE00009 OLLV Assigned Date: 116101 <br /> �.w <br /> Program/Element Code: 2547- ENERATOR RESPONSE STANDBY <br /> Complainant: <br /> : <br /> Nature of complaint: <br /> METHAMPHETAMINE LAB IN WATER VESSEL.S.J.CO SHERIFF ARRESTED PERPETRATOR AND PROCESSED CHEMICALS FOR PROPER <br /> DISPOSAL.{ACIDS,BASES,FLAMMABLES) <br /> Complaint Mode A Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION I. <br /> r <br /> Facility: FA0004180-MOSSDALE TRAILER PARK Owner: OW0003095-MOSS DALE TRAILER PARK <br /> RP/DBA: MOSSDALE TRAILER PARK <br /> Site Location: 10 W MOSSDALE RD RP Address: 10 W MOSSDALE RD <br /> LATHROP,CA 95330 LATHROP,CA 95330 <br /> Mailing Address: PO BOX 2589 Billing Address:: 10 W MOSSDALE RD <br /> SEOUIM,WA 96382 LATHROP,CA 95330 <br /> Phone: 1st: 209-982-0358 Phone: <br /> Wk: 209-982-0358. <br /> District 003-MOW,VICTOR Location Code 99-UNINCORPORATED AREA <br /> APV <br /> 1 � <br /> Date Abated A/ <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> i <br /> Referral Letter Sent by. <br /> Date: <br /> Complaint Status Code: O j <br /> Q Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> i72-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-EnforeementAction 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 l 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 WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See ActivelFile For This Site <br /> i <br /> I;I <br /> .0104.rpt <br />