Laserfiche WebLink
,omplaint Investigation Form *4100 Report#:5104 <br /> COMPLAINT ID: C00021434 Site Location: 16848 N TULLY RD Account D: <br /> Received by: EE0005366 MEDINA Received Date: 9/7/2004 Print Date: 9/7/2004 11:34:55ANI <br /> Assigned To: EE0005366 MEDINA Assigned Date: 9/7/2004 <br /> Proaram/Element Code.-4300-WELL PROGRAM <br /> Complainant: :LISA MEDINA Home Phone <br /> Address Work Phone <br /> JJ <br /> Nature of complaint. <br /> ABANDONED PIT WELL MEASURING 3FT WIDE&OVER 100'DEEP UNSEALED.HAZARD&DANGEROUS <br /> Complaint Mode: C Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> - - -- — — —, -- ————— — — ———— — - ------ - - - - ------ — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 16848 N TULLY RP/DBA <br /> LODI,CA RP Address <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN J <br /> Date Abated Inspector: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> �) ,= AINI'DESK <br /> oy <br /> COPY <br /> 5104.rpt <br />