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1. Complaint Investigation Form Report#: 5104 <br /> CbMPLAINT ID: C00014556 Site Location: 2629 WATERLOO RD S Account ID: <br /> Received by: EE0007829 GAGAZA Received Date: 7/27/2000 <br /> Assigned To: EE0000644 NORGARD Assigned Date: 7/27/00 <br /> Pmaram/E/ement Code: 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> Nature of complaint: <br /> F <br /> AILER NEXT TO HER HAS NO SEPTIC HOOK UP AND SEWAGE IS ON GROUND <br /> IRD COMPLAINT FROM THIS LADY IN TWO DAYS <br /> Complaint Mode P Complaint Mode Codes A-Agency Referr: B-Bd of Supervisors/Ciq C-Count( E-Code Enforcemr <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY <br /> PROPERTY OWNER INFORMATION <br /> rVPProperty Name: H1 am Responsible Party: <br /> Site Location: <br /> RP Address: <br /> Billing Address: <br /> Phone: <br /> Phone: Hm: <br /> Wk: <br /> District: 003-SIMAS, EDWARD Location Code: 99-UNINCORPORATED AREA <br /> APN: <br /> Date Abated: 8''Z •OCA <br /> Inspector. <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: Date.' <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <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 50- Lead Hazard Evaluation Required(1) <br /> 06-EHD Penn it 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 Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54- Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 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-Tra nsferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />