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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048289 Site Location: 28915 E FUNCK RD Account ID., : <br /> Receivedby: EE0000753 NG Received Date: 5/1/1991 Print Date: 1/10/2019 11:36:16AM <br /> Assigned To: EE0000753 NG Assigned Date: 1/10/2019 <br /> Prooram/Eiement Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> HOUSE IS BURNED DOWN.PIT WELL AND SEPTIC SYSTEM EXPOSED AND UNSAFE <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 /> 1-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> — -- — ---- -------------- —______—PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 28915 E FUNCK RD RP mailing address <br /> FARMINGTON,CA 95230 <br /> Cmss Street WAVERLY <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:SIERRA BAY FARM CREDIT SERVICES <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone 209-931-3770 <br /> Work Phone <br /> District 004-W INN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 18735001 <br /> Date Abated ,+III IO / Iq Inspector ID#: Sa yt'� <br /> ----/-------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:qq <br /> Circle appropriate Status Code <br /> 01-Field 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 Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 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 /> ompant Reviewed by: Date. Updated by. - ate: <br /> 5104 rpt <br />