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Complaint Investigation Form Report#i 5104 <br /> COMPLAINT ID: C00050823 Site Location: 116 S CARROLLAVE Account ID: <br /> Received by: EE0000753 NG Received Date: 8/8/1991 Print Date: 10/21/2019 11:23:30AM <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 /> ABANDONED WELL ON PROPERTY. <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-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Prupert. \ame: RPDBA <br /> Site Location 116 S CARROLL AVE RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street WASHINGTON <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:JACK KILQURE <br /> DBA <br /> Owner address <br /> Billing Address 116 S CARROLL AVE <br /> STOCKTON,CA 95215 <br /> Home Phone 209-464-9450 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15903310 <br /> Date Abated i n. -)-l� I L Inspector ID#: 1 j 61 <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:010) <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 Verity 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 /> ompaint Reviewed by: V.A3 Date: Updated by ate: <br /> 5104.rpt <br />