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V V' <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052384 Site Location: 1914 N AUTO AVE Account ID: <br /> Received by: EE0009826 LINDSAY Received Date: 8/4/2020 Print Date: 8/4/2020 12:04:49PM <br /> Assigned To: EE0000418 KITH Assigned Date: 8/4/2020 <br /> Procram/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: ANONYMOUS <br /> Home Phone N1 t�n�� <br /> E-Mail Address <br /> Nature of complaint: <br /> RANCH MOBILE PARKS. SEWER BACK UP,STRONG SEWER ODOR,TOILETS ARE BACKING UP IN#26 tx#27. CS-2001132 <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-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 1914 N AUTO AV E RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street WATERLOO <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:HOWARD&ANNE FAIRBANKS <br /> DBA <br /> Owner address <br /> Billing Address 813 E 950 S PROVO <br /> UTAH,CA 94606 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 11921006 <br /> Date Abated i6:%"/3_ lk>26 Inspector ID#: 14 eemn- <br /> --------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: p? <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 /> (5+�'-Referred to Other Agency //G, t IVP—C-2 Z)-140-5'Z.5' 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 /> r <br /> omp aint Reviewed by: ate: Updated by: ate <br /> 5104.rpt <br />