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Complaint Investigation Form Report#:5104 <br /> 4$ r ii <br /> CCOMPLAINT ID: C00021686 Site Location: 22261 S MOUNTAIN HOUSE PKWY Account ID: AR0003026 I <br /> a <br /> Received by: EED000321 OLIVEIRA Received Date: 10/20/2004 Print Date10/2012004 11:22:53AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 10/20/2004 <br /> Proaraml lement Code: 300-UNDERGROUND TANK PROGRAM ° <br /> ��►__ ,,����,,�llam�, <br /> Complainant: : Phone <br /> Address Work Phone <br /> � I <br /> Nature of complaint., <br /> UST REMOVED BY BILL ENOS WITHOUT EHD APPROVAL. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> --------- ---- ------------ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003449-LUCKY J DAIRY 39-331 Owner: OW0002571 -KIMBROUGH,BRUCE&JOANN <br /> Site Location 22261 S MOUNTAIN HOUSE PKWY RP/DBA LUCKY J DAIRY <br /> TRACY,CA 95304 RP Address 17529 W GRANT LINE RD <br /> TRACY,CA 95304 <br /> Mailing Address: 17529 W GRANT LINE RD Billing Address 17529 W GRANT LINE RD <br /> TRACY,CA 95304 TRACY,CA 95304 <br /> Nome Phone <br /> Phone :209-836-2035 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN 20906008 <br /> Date Abated Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> complaint History <br /> Complaint Status Coder Attached But Not <br /> Scanned <br /> Circle appropriate Status Code <br /> E 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> i <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 /> 00-END PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> I 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> I 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 5144.rpt <br />