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Vft <br /> ' Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048932 Site Location: 25583 N HWY 99 Account ID: <br /> Received by: EE0000014 MORENO Received Date: 2/19/2019 Print Date. 2/19/2019 3:37 11 PM <br /> Assigned To: EE0009488 WONG Assigned Date: 2/19/2019 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: PATRICIA GAMA Home Phone 209-570-7431 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> SEWAGE COMING UP IN SHOWER AND SINK, FLOODING OUTSIDE. OWNER REFUSES TO FIX,PLEASE SEND INSPECTOR AS SOON AS <br /> POSSIBLE TENANT HAS CHILDREN AND ONE CHILD WITH DISABILITIES. <br /> Complaint Mode: ID 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 /> --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 25583 N HWY 99 RP mailing address <br /> ACAMPO,CA 95220 <br /> Cross Street COLLIER <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner: FIDE11COMEZ JR <br /> DBA <br /> Owner address <br /> Billing Address 3522 E BARRON RD <br /> ACAMPO,CA 95220 <br /> Home Phone 2041 —Zlp3--Z-30l <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00539053 Q 2 2 <br /> Date Abated y P III Inspector ID#: G�0 0 0 1�7 J 51' <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O <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 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 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 /> 1 <br /> F77ewewe y: a e' Updated by: Date: <br /> 5 i 0a rpt <br />