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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID:'COHKPP.OPL Site Location: 11225 E HWY 26 Account ID: <br /> Received by;":EE0000988 FOLEY Received Date: 6/28/2019 Print Date: 7/1/2019 3:18:10PM <br /> Assigned To: .EE0004636 BACKUS AssignedDate: 6/28/2019 <br /> Program/Element Code'4200-LIQUID WASTE PROGRAM <br /> Complainant. ;ANON Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> SURFACING SEWAGE FROM SEPTIC SYSTEM. <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 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA CHERRYLANE MOBILE HOME PARK <br /> Site Location 11225 E HWY 26 RP mailing address <br /> <br /> <br /> <br /> <br /> Phone <br /> Property Owner:HULL FAMILY PROPERTIES LLC <br /> DBA CHERRYLANE MOBILE HOME PARK <br /> Owner address <br /> Billing Address <br /> <br /> <br /> <br /> <br /> <br /> b <br /> I Date Abated -_':7 /� Inspector ID <br /> Send Referral to %%Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01 ield Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to OtherAgency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> ompamt evi y: ate: / pate y: 10 at <br /> IF <br /> 5104.rpt <br />