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'�L <br /> Report#:5104 <br /> 0 Complaint Investigation Form <br /> COMPLAINT ID: C00050441 Site Location: 1110 W KETTLEMAN LN STE 41 Account ID: <br /> Received by: EE0009831 VILE Received Date: 9/9/2019 Print Date: 9/9/2019 1:12:4811M <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 9/9/2019 <br /> Program/Element Code 4100-SAFE BODY ART PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> BODY ART FACILITY PRACTICING PERMANENT COSMETIC WITHOUT FACILITY PERMIT. ADVERTISEMENTS FOUND ON YELP AND <br /> INSTAGRAM. <br /> Complaint Mode: I 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 1 l 10 W KETLLEMAN LN RP mailing address <br /> LODI,CA 95240 <br /> Cross Street HAM <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN NEAR 06037013 <br /> Date Abated -1 /lO q Inspector ID#: t V`.VI u <br /> -------------- ----------------------------------- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <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 /> Pomplaint;Ripviewed y, ff <br /> pate y: a <br /> 5104.rpt <br />