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A r ' Complaint Investigation Form Report#:5104 <br /> COMPLAINT I : C00024229 Site Location: 10 W MOSSDALE RD Account ID: AR0003862 <br /> Received y: EE0000321 OLIVEIRA Received Date: 3/27/2006 Print Date: 3/28/2006 l 1:11:43AM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 3/27/2006 D <br /> Pro ramlElement CodeA200-LIQUID WASTE PROGRAM SCANNED <br /> ��� <br /> Complainant: :JILL HAIRE 6769 Name Phone 209-323-9350 c,� +ar+–��� <br /> Address ; Work Phone 0 <br /> Nature of complaint: <br /> PREVIOUSLY DESTROYED SEPTIC TANK NEAR SPACE#25 IS CAVING IN.***SEE MIKE HUGGINS BEFORE GOING OUT TO THE SITE*** <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> I i E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------ <br /> FACILITY <br /> — . -------- ----------- _ — <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0004180-MOSSDALE MOBILE HOME PARK Owner: OW0003095-APPLEGATE PROPERTIES <br /> Site Location 10 W MOSSDALE RD RP/DBA MOSSDALE MOBILE.HOME PARK <br /> LATHROP,CA 95330 RP Address 10 W MOSSDALE RD <br /> LATHROP,CA 95330 <br /> Mailing Address: PO BOX 1110 Billing Address PO BOX 11 10 <br /> MEADOW VISTA,CA 95722 MEADOW VISTA,CA 95722 <br /> Home Phone <br /> Phone :209-982-0358 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN 23902001 <br /> Date AbatedZ Inspector <br /> �J <br /> -------- -- -- -- --------------- <br /> ------------ <br /> f , <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> IELD ABATED 14-ENFORCEMENT CAST=-Transferred to ER FILE <br /> 02-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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> c6-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint I Iistory <br /> Attached But Not <br /> Scanned <br /> 5104.rpt <br />