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s <br /> ZNlV1 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047716 Site Location: 1901 E YOSEMITE AVE SPACE 111 Account ID. <br /> Received by: EE0000007 MORELLI Received Date: 11/5/2018 Print Date: 11/6/2018 8:11:00AM <br /> Assigned To: EE0000034 AHMED Assigned D <br /> <br /> 8-2948 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> CALIFORNIA DEPARTMENT OF PUBLIC HEALTH RECEIVED A CALL FROMM COMPLAINANT ALLEGING"SEWER ISSUES'PLEASE CALL <br /> COMPLAINANT FOR MORE INFORMATION. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ERNEST PESI'ANA <br /> Site Location 1901 E YOSEMITE RP/DBA : <br /> MANTECA,CA 95336 RPAddress PO BOX 672 <br /> Cross Street MANTECA,CA 95336 <br /> Billing Address PO BOX 672 <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB location Code 04-MANTECA <br /> APN 20831026 <br /> Date Abated �✓ytfy InspectorID#: ,y,,4S6rW AmoP <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01 -Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02 Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp aint Reviewed by.. ate 3 i I f,� 11 pate y: at : ^ G <br /> 5104.rpt <br />