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4 Complaint Investigation Form Report#:5104 <br /> e <br /> COMPLAINT ID: C00051451 Site Location: 21800 S MANTECA RD Account ID: <br /> Received by: EE0009834 SUSZYCKI Received Date: 1/13/2020 Print Date: 1/13/2020 3:28:58PM <br /> Assigned To: EE0009834 SUSZYCKI Assigned Date: 1/13/2020 <br /> Program/Element Code 1315-OCCUPIED RV <br /> <br /> <br /> <br /> Nature of complaint: <br /> OCCUPIED RV WITH CONNECTIONS. <br /> Complaint Mode: 0 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 /> ------------------------------------------- --- - - — <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 21800 S MANTECA RD RP mailing address <br /> MANTECA,CA 95337 <br /> Cross Street SEDAN <br /> Mailing address RP contact I L <br /> RP contact phone _ 5 <br /> Phone ZM <br /> Property Owner:DE KIDOS,DENNIS&HELEN <br /> DBA <br /> Owner address <br /> Billing Address 22637 SIXTH ST <br /> HAYWARD,CA 94541 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 22612012 <br /> Date Abated :+l 'Z,-, �'zm Inspector ID#: Su <br /> --- <br /> --- <br /> -- <br /> -- <br /> --------V----------------- -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code v <br /> 01 Field Response-Violations Citedand Corrected 29-Alleged FBI-Major Violations Identified <br /> Office Response Only � Y��� % Wh t 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 /> .01 <br /> omp aint Reviewedy: ate: I J pate y: e: <br /> 5104.rpt <br />