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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042729 Site Location: 25195 E RIVER RD /SISI B-7 e, ;ver Account lD: <br /> Receivedby: EE0003600 BLACKWELL Received Date: 12/29/2016 Print Date: 12/292016 3:07:31PM <br /> Assigned To: EE0009001 MANZO Assigned Date: 12/29/2016 <br /> ProaramrElement Code2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT STATES LEAD IN THE CANAL AND ORCHARDS FROM THE SHOOTING RANGE. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> -------------------------------------- <br /> PROPERTY <br /> ----------------- _------PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:ESCALON SPORTSMAN CLUB Responsible Party or Property Owner <br /> Site Location 25195 E RIVER RP/DBA SPORTSMAN CLUB ESCALON <br /> ESCALON,CA 95320 RP Address PO BOX 267 <br /> Cross Street MCHENRY ESCALON,CA 95320 <br /> Billing Address PO BOX 267 <br /> e <br /> Home Phone <br /> Phone Work Phone ; <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 24710004 <br /> Date Abated �1� ,!bl .C�� ----Inspector ID#: <br /> Send Refenal to Referral Letter Sent by <br /> Referral Address Date: <br /> JI- <br /> Complaint Status Code: 01/0 <br /> Circle appropriate Status Code -/ <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Offoe Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 006- relations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No original Found <br /> 0 Refferred to Other Agency <br /> 09-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompamt Reviewed by: <br /> _ Updated by: Dat . <br /> 5104.rpt �K/` <br />