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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00050274 Site Location: 15757 E SARGENT RD Account ID: <br /> Received by: EE0000034 AHMED'/ Received Date: 8/6/2019 Print Date: 8/6/2019 4:24:33PM <br /> Assigned To: EE0000034 AHMED . Assigned Date: 8/6/2019 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> FAILING SEPTIC SYSTEM. OBSERVED SURFACING SEWAGE COMING OUT OF SEPTIC TANK, LEACH FIELD SATURATED INDICATING POOR <br /> INFILTRATION. LOCATED NORTH OF STABLE/BARN. <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 I 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 15757 E SARGENT RD RP mailing address <br /> LODI,CA 95240 <br /> Cross Street TULLY RD <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:SARGENT ESTATES LLC <br /> DBA <br /> Owner address <br /> Billing Address 15757 E SARGENT RD <br /> LODI,CA 95240 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 05307006 <br /> Date Abated // Z s,_ 12 d c1 Inspector ID#: &(/b 74, <br /> ---------- --------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: �7 <br /> Circle appropriate Status Code <br /> Iiii <br /> 01- ield Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 51`VUR( IU3 2 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: I Date: p ate y: ate: <br /> 5104.rpt <br />