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r- <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050822 Site Location: W PELTIER RD Account ID: <br /> Received by: EE0000753 NG Received Date: 1/30/1991 Print Date: 10/21/2019 11:14:40AM <br /> Assigned To: EE0000753 NG Assigned Date: 10/21/2019 <br /> Program/Element Code 4300-WELL PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> IRRIGATION WELL. NO PUMP ROCKS OVER THE TOP. <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 <br /> Site Location W PI[I I I ER RD RP mailing address <br /> LODI,CA <br /> Cross Street <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:LEO WARMERDAM <br /> DBA <br /> Owner address <br /> Billing Address 23049 N DAVIS RD <br /> LODI,CA 95242 <br /> Home Phone <br /> Work Phone <br /> District Location Code <br /> APN <br /> Date Abated i .��, 1 Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: CV) <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 7Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99- NSPECIFIED-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 amt Reviewed by: VI/ ate: 17 p ate y: ate: <br /> 5104.rpt <br />