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f ,, Complaint Investigation Form Report#: 5104 <br /> 3 /A IAn <br /> COMPLAINT ID: 000043136 Site Location: 314 S VENTURA AVE AccountlD. <br /> Receivedby: EE0006219 DUNCAN Received Date: 3/20/2017 Print Date: 3/20/2017 2:31:07PM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 3/20/2017 <br /> ProoramrElement Coda:4200-LIQUID WASTE PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> SEPTIC ISSUES,AREA HAS SMELLED VERY BAD AT THIS HOUSE FOR 3 MONTHS. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Inlemet/Email S-Sheriffs Office <br /> ---------- --------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:WILLIE L HARRISON EST <br /> Site Location 314 S VENTURA RP/DBA <br /> STOCKTON,CA 95203 RP Address 6964 ROMANZO WAY <br /> Cress Street SONORA ELK GROVE,CA 95758 <br /> Billing Address 6964 ROMANZO WAY <br /> Home Phone <br /> Phone : Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code <br /> APN 14506225 <br /> Date Abated Z/1 —. S_ I;L Inspector ID#: <br /> -------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: I-D <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-Office Response Only 29-Alleged FBI-Major Violations Idenfified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Referred to Other Agency <br /> 08-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. Date: Updated by. Date <br /> 51N.rpt <br />