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COMPLAINT # : COO13246 Date : iilv�� y7 <br /> Inspector : CARRUESCO Location: Y3- WEST LN <br /> CONNBNTS <br /> #4 : �{� S'ca c a! Sr waS GcJQs�F L-Q �cu J�• <br /> date 1 f �a I by: 6"") al G (u �- <br /> date by; GU ..1-�n�5 a-{�.... Co+n.oLt+.e <br /> date—_/—/_ bY: Q ( r;.. �fC oL�w� Cu+.cLtae� � �✓'� k„c:Q <br /> date_/_/_ by:- <br /> 6 : <br /> y:b : <br /> date_/_/__.__ by: . <br /> date_/,/_ by: <br /> #7 : <br /> date—/_]_ by: <br /> date—/—./.— by: <br /> #8 : <br /> date_/_/— by: <br /> date_/—/_ by <br /> date_/_/_ by: <br /> date_/—/— by: <br /> date0djAbated <br /> / /— by: - <br /> Resaley: D 43Z'� Name '�-��' �te �-LZ'/41 <br /> Violations: <br /> Beforce�ent: <br /> CORRESPONDENCE & LEGAL DATES - <br /> NOTICE TO ABATB sent Office Bearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> _ <br /> Fire Dept _/ /_ �M Pa[icefSheriff Dept _/ /^ Building/Housing Dept <br /> PN Nursing _/ /_ _ Animal Control District Attorney <br /> State ODR _(_/� _ planning Dept <br /> Cal-EPA DISC and/or RWQCB _/i/� _ Public harks Dept <br /> Third Party Billing Information: <br /> Name: C/O: <br /> Address: <br /> City: state: ZIP: 4 <br /> Reviewed by: Date : <br /> Complaint Record Updated By : Date : /_t-/ <br /> Revised Report 15104 11/23/98 <br />