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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00054020 Site Location: 1914 N AUTO AVE AccountlD: <br /> Received by: EE0008987 SANGALANG Received Date: 7/9/2021 Print Date: 7/9/2021 12:52:271'M <br /> Assigned To: EE0009834 SUSZYCKI Assigned Date: 7/9/2021 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> THERE IS ANEW LARGE POOL OF SEWAGE AT SPACE#30 THAT IS GOING ONTO SPACE#29 AND THE PROPERTY NORTH OF THIS(1938 N <br /> AUTO) THERE IS AN ELDERLY WOMAN LIVING AT#30. <br /> Complaint Mode: S 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: RPDBA <br /> Site Location 1914 N AUTO AVE 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 <br /> PROVO,UT 84606 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 11921006 ✓t v <br /> Date Abated W1_41 Inspector ID#: ( K <br /> ----------------------------------------------- -- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 15 <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 /> 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 /> 1 -DA Referred Complaint-See Program Enforcement Action Form cl�/RS-Resolved-New Well Installed <br /> -ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE#� 5 O4'd S1 -Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed by: ate: / 24 Update2 Updatey: ate: <br /> 5104.rpt <br />