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Complaint Investigation Form Report#:5104 <br />_- .ir <br /> COMPLAINT ID: 000032653 Site Location: 2629 E WATERLOO RD, SP#1 Account ID: <br /> Received by: EE0003952 JOHNSON Received Date: 912112010 Print Date: 9/21/2010 1:29:29PM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 9/21/2010 <br /> i <br /> Program/Element Code:4200-LIQUID WASTE PROGRAM <br /> Complainant: :ANONYMOUS Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of cons taint: <br /> (C)STATED THE SEPTIC IS SURFACING IN THE YARD OF SPACE#1 ON A DAILY BASIS. (C)IS CONCERNED BECAUSE THERE ARE SMALL <br /> CHILDREN AND PETS IN THE AREA. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other Eli Unit P-Phone <br /> l4ntemet l Email S-Sheriff's Office <br /> --------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RIO INVESTMENTS LLC I <br /> 5 <br /> Site Location 2529 E WATERLOO RP/DBA <br /> STOCKTON,CA 95205 RP Address 3108 CHERRYLAND AVE <br /> Gross Street STOCKTON,CA 95205 <br /> Billing Address 3108 CHERRYLAND AVE <br /> i <br /> 1 <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA Location Code 99-UNINCORPORATED AREA <br /> APN 11921038 j <br /> I <br /> Date Abated _ '9 l!> ^� Inspector.. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 1 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response i <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY i <br /> 08-UNABLE TO VERIFY S <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 20-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> I <br /> I <br /> 51 .rpt . . <br />