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Complaint Investigation Form <br />Report #: 5104 <br />COMPLAINT ID: C00054805 <br /> <br />Site Location: 30000 KASSON RD <br /> <br />Account ID: : <br /> <br />Received by: EE0000026 RUVALCABA <br />Assigned To: EE0009852 SALINAS <br />Program/Element Code 4200 - LIQUID WASTE PROGRAM <br />Complainant: <br /> <br />E-Mail Address <br />Received Date: 4/7/2022 Print Date: 4/7/2022 2:55:59PM <br />Assigned Date: 4/7/2022 <br />Nature of complaint: <br /> <br />RECREATIONAL VEHICLE DUMPING WASTE INTO SEPTIC SYSTEM IN CAMPGROUND AREA. AREA IS LOCKED AND RICK HALL NEEDS TO <br />BE CONTACTED TO UNLOCK AREAAND ALLOW FOR WASTE TO BE DUMPED. CAMPGROUND BY CYPRESS ROAD AND LAKESIDE ROAD. <br />BAD SMELL BY ACACIA CIRCLE AND EVERGREEN DRIVE. SMELL MAY BE SEWAGE RELATED <br />Complaint Mode: C Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriffs Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br /> <br />RESPONSIBLE PARTY INFORMATION <br /> <br />Property Name: <br />Site Location <br /> <br />RP DBA <br />RP mailing address <br /> <br />30000 S KASSON RD <br />TRACY, CA 95304 <br />CYPRESS & LAKESIDE <br /> <br />Cross Street <br />Mailing address <br /> <br />RP contact <br />RP contact phone <br /> <br />Phone <br /> <br />Property Owner: SAN JOAQUIN RIVER CLUB INC <br />DBA <br />Owner address <br />Billing Address <br /> <br /> <br />Home Phone <br />Work Phone <br /> <br />District 005 - RICKMAN, ROBERT <br />APN 24115001 <br /> <br />Location Code 99- UNINCORPORATED AREA <br />Date Abated Inspector ID #: <br /> <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code: <br />Circle appropriate Status Code <br />01 - Field Response-Violations Cited and Corrected <br />2 <br />- <br />02 Office Response Only <br />6 Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Referred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10- POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint-See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed-No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99- UNSPECIFIED-Old Complaint-No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued-Pending Well Installation <br />RS - Resolved - New Well Installed <br />51 - Tank pumped <br />S2 - Hooked up to public sewer <br />complaint Reviewed by: Date: c <br /> <br />Updated by: tEr (dX <br /> <br />Date ciZIOIL2 <br /> <br />5104 rpt <br />