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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016356 Site Location: 21000 PARADISE RD Account/D: AR0005723 <br /> Received by: EE0000008 BRIGGS Received Date: 8/9/2001 <br /> Assigned To: EE0007380 SHIH Assigned Date: 8/9/01 <br /> lomwamrElement Code: 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> Nature of complaint: <br /> IN FRONT OF BUILDING AT 21000 PARADISE RD,THERE IS A SEPTIC TANK WITH SURFACING SEWAGE.THERE MAY BE A SECOND <br /> SEPTIC TANK IN FRONT OF THE CHHINA TRUCKING CO.(BUILDING TO WEST) <br /> Complaint Mode 0 Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Coda Enforcement <br /> M-Mail/Conespondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0005265-HALEY'S FLYING SERVICE Owner: OW0004121 -HALEY,DOROTHY <br /> RP/DBA: HALEY'S FLYING SERVICE <br /> Site Location: 21000 PARADISE RD RP Address: <br /> <br /> Mailing Address: 1311 N MADISON <br /> BillingAddress.,: <br /> <br /> <br /> <br /> District 005.BEDFORD,LYNN Location Code 03-TRACY <br /> APN <br /> Date Abated r v complete <br /> Inspector —� <br /> 8 <br /> Send Referral to: • G <br /> Referral Address: fill <br /> Refenal Letter Sent by. /� 0 Z <br /> Date: I <br /> Complaint Status Code: <br /> 01-Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated <br /> 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sant 76•Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initialed 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/Unable To Verity 51-Lead Hazard Work Plan Submitted(2) <br /> 09-Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case If 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 W/Soil Contamination <br /> 14-Enforcement Case•Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> J <br /> 0104.rp1 <br />