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' s Complaint Investigation Form <br /> #: <br /> C`dMPL ID: C00025132 Site Location; 10 W MOSSDALE RD Account ID: 3862 Report 5104 <br /> Received by: EE0002089 SOOD Received Date: 9/11/2006 Print Dat: 9/11/2006 4:46:38PM <br /> Assigned To: EE0000369 BIEDERMANN Assigned Date: 9/11/2006 <br /> ProciragVElement Code:1315-OCCUPIED RV COMPLAINT <br /> Complainant, : CDD 'ri w/CJ <br /> No one <br /> Address <br /> f CANM <br /> Work Phone <br /> F <br /> Nature of complaint, <br /> OCCUPIED RV TRAILER, <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C Counter <br /> I ————— E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <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 8000 Billing Address PO BOX 8000 <br /> CITRUS HEIGHTS,CA 95621 CITRUS HEIGHTS,CA 95621 <br /> Home Phone :916-780-8276 <br /> Phone :209-982-0358 Work Phone :209-982-0358 <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN 23902001 f <br /> Date Abated9 <br /> lnspector.� 2d�g <br /> ----------- ---------- - - ----------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Con, <br /> int Status Corte: Q <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 00 - FFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Al SENT 16-LETTER SENT TO TENANT <br /> 111104-NOTICE TO ASATF ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> n7.REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE r <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 History <br /> Attached But Not <br /> Seanneu. <br /> 8,104,rpt <br />