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Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00048725 Site Location: 10 W MOSSDALE RD Account/D: <br /> Recelved by.: EE0000753 NG Received Date: 2/26/1991 Print Date: 2/6/2019 12:40:29PM <br /> Assigned To: EE0000753 NG Assigned Date: 2/6/2019 <br /> ProcramrE/ement Code 4600-PUBLIC WATER SYSTEM PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> COMPLAINANT IS WORRIED ABOUT CHLORINE BEING FLUSHED OUT FROM CHLORINE WATER PIPES DURING INSTALLATION OF A NEW <br /> WATER 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 O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 10 W MOSSDALE RD RP mailing address <br /> LATHROP,CA 95330 <br /> Cross Street <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owneraddress <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 23902001 <br /> Date Abated ` Inspector/D <br /> ------ _ ____________ _ ___ <br /> Send Referral to Referral Letter Sent b <br /> Referral Address Date: <br /> �y/L <br /> Complaint Status Code:/qtA <br /> Circle appropriate Status Code-1— <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 /> 08-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 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 N-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 /> ompalnt Reviewed by: Date: pate y: ate:` p <br /> 5104.rp1 -/ <br />