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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: 000050320 Site Location: ORCHARD RV PARK 2701 E HWY 13: Account/D.- <br /> Received <br /> ccount/D:Received by: EE0009824 DAI Received Date: 8/10/2019 Print Date: 8/28/2019 8:11:18AM <br /> Assigned To: EE0009824 DAI Assigned Date: 8/10/2019 <br /> Program/Element Code 3600-RECREATIONAL HEALTH PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> WATER IN POOL IS DARK GREEN,SMELLS BADAND IS REALLY CLOUDY. <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-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA ORCHARD RV PARK <br /> Site Location 2701 HWY RP mailing address 2701 CA-132 <br /> VERNALIS,CA 95385 VERNALIS,CA 95385 <br /> Cross Street: ... ,y•, .. .. :i * .. �`�' �::.`:�, i;^ <br /> Malllhg address PP contact R013ERT THOMAS <br /> RP contact phone 209-605-6962 <br /> Phone ; <br /> Propbrty Owtier <br /> bBA OkCHARb RV PARK <br /> Owner address <br /> Billing Address 2701 E HWY 132 <br /> VEttNALIS,CA 95J85 <br /> Home phone <br /> Work Phone 209-836-2090 <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 25525009 o , 2 el-\9 <br /> Data Abated Inspector ID#: L\-M\o% r-e S <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:0 1 <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 /> omp aint Reviewed by: _ ate: pate y: ate: <br /> 5104.rp1 <br />