Laserfiche WebLink
III <br /> `�� Crallaint Investigation Form _ Report*5104 <br /> :OMPLAINT ID: C00037667 Site Location: 902 INDUSTRIAL WAY AccountlD: <br /> ReceivedbY. EE0005838 ELLSAESSER Received Date: 3/4/2014 Print Date: 3/4/201412:03:03PM <br /> Assigned To: EE0005838 ELLSAESSER Assigned Date: 3/4/2014 <br /> I' <br /> Program/Element Code'9900-SITE MITIGATION PROGRAM <br /> Complainant: :CONFIDENTIAL COMPLAINT REFERRAL FROM CAL/EPA Home Phone <br /> Address ;RECORD#12860 Work Phone <br /> E-Mail Address <br /> Vatureofcomplaint: <br /> DISPOSING OF WATER USED FOR CURING CONCRETE INTO A WELL DRILLED INSIDE THE CONCRETE CURE ROOM FLOOR. <br /> Complaint Mode: PComplaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 'l-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> —_--_-- -- — —_—_— _—_----_ _____PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:NEIL ANDERSON <br /> Site Location 902 INDUSTRIAL RP/DBA NEIL,O ANDERSON <br /> LODI,CA 95240 RP Address 902 INDUSTRIAL WAY <br /> Cross Street LODI,CA 95240 <br /> r <br /> Billing Address 9021NDUSTRLAL WAY <br /> Home Phone <br /> Phone Work Phone <br /> District 004-VOGEL,KEN Location Code <br /> 02-LODI <br /> APN 04915012 <br /> Date Abated Inspector/D#: <br /> ----------------------------------------- -----____ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ,r <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104.rpt <br />