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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050413 Site Location: 10 W MOSSDALE RD Account ID: <br /> Received by: EE0009834 SUSZYCKI Received Date: 9/3/2019 Print Date: 9/3/2019 3:10:58PM <br /> Assigned To: EE0001420 NISSIM Assigned Date: 9/3/2019 <br /> Program/Element Code 1310-SUBSTANDARD HOUSING-ENCAMPMENTS <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> HOMELESS CAMP ON OR NEAR THIS PROPERTY. TRASH AND DEBRIS, RATS,HUMAN WASTE ALL OVER. CS-1901487*CST* <br /> Complaint Mode: E 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 /> [-Internet/Email S-Sheriff's Office <br /> -- ------------------ ------------------------- -- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 10 W MOSSDALE RD RP mailing address <br /> LATHROP,CA 95330 <br /> Cross Street 1-5 <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:MOSSDALE MOBILE HOME PARK INC: <br /> DBA <br /> Owner address <br /> Billing Address 2264 INDUSTRIAL DR <br /> SHERIDAN,WY 82801 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 23902001 <br /> Date Abated '-{ / Inspector ID#: 5 �l <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> bReferred 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 /> ompaint Reviewed by: ate Updated by:C /9 n , ate: <br /> 5104.rpt <br />