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Complaint Investigation Farm Report*5104 <br /> COMPLAINT ID: C00036969 Sita Locatjon: 12751 N THORNTON RD Account ID. : <br /> Received by: EE0003600 BLACKWELL Received Date: 9/6/2013 Print Date: 9/11/2013 1:32:16PNI <br /> Assigned To: EE0001422 CACAPIT Assigned Date: 9111/2013 <br /> Program/Efement Code:2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: : DTSC-TIFFANY ANDERSON Home Phone 209-625-8587 <br /> Address :2 N AVENA.AVE Work Phone <br /> LODI,CA 95240 E-Mail Address <br /> '1`tf-s�Nyf�M�.toP�'1 <br /> Nature of complaint: / <br /> IMPROPER HAZARDOUS MATERIALIWASTE HANDLING <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unfit P-Phone <br /> I-Internet/Email S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Prrrperl.% \:nov: Responsible fart,or Property Owner: W111 FE SLOUGH WATER POLLUTION CC <br /> Sqe Location 12751 N TI IORNTON RPrDBA <br /> LODI,CA 95242 RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> Dfsmct 004-VOGEL,KEN Location Code 02-LODI <br /> APN <br /> Date Abated (7-N Inspector ID#: Ac, <br /> - --------- ----- - <br /> Send Referral to Referral Letter Sentby <br /> Referral Address Date <br /> i <br /> Complaint Status Code: l <br /> Circle appropriate Status Code l <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD A8 ED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> f <br /> .0er—f7-FICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> C 97-Disaster Manning and Response <br /> 07-REFERRED TO OTHER AGM Cl 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> T04 rp! <br />