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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAIN - C00039398 Site Location: 20801 S WOODWARD AVE Account rD: <br /> Received by: EE0000025 SEDRA Received Date: 3/2012015 Print Date: 3/20/2015 1 l:17:18AM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 3/20/2015 <br /> Prooram/Element Code:4200-LIQUID WASTE PROGRAM <br /> Complainant: :ALLEN AVEANO Nome Phone 209-239-2926 <br /> Address Work Phone <br /> MANI ECACA 0337 L:-Mail Address <br /> Nature of complaint: <br /> SEWAGE SMELL COMING FROM TRAILER PARK. <br /> Complaint Mode: P Complaint Mpde Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet t Emait S-Sheriffs Office <br /> ----------------------------------- - ------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:ISLANDER MOBILE HOME PARK Responsible Party or Property Owner <br /> Site Location 20801 S WOODWARD RP/DBA ISLANDER MOBILE HOME PARK <br /> MANTECA,CA 95337 RP Address PO BOX 7537 <br /> Cross Street WILLIAMSON MENLO PARK,CA 94026 <br /> Billing Address PO BOX 7537 <br /> Nome Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 24125033 <br /> Date Abated 7 Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104.rpit <br />