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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00055638 Site Location: 7600 WINDMILL COVE RD Account ID: AR0002414 <br /> Received by: EE0009488 WONG Received Date: 2/27/2023 Print Date: 3/17/2023 3:56:42PM <br /> Assigned To: EE0000039 GOODERHAM Assigned Date: 2/27/2023 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: ANONYMOUS <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT STATES PROPERTY HAS WELL ISSUES AND BATHROOM PROBLEMS. <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 /> Facility:FA0002636-WINDMILL COVE RESORT/MARINA LLC RPDBA <br /> Site Location 7600 WINDMILL COVE RD RP mailing address <br /> STOCKTON,CA 95206 <br /> Cross Street <br /> Mailing address RP contact <br /> STOCKTON,CA 95206 RP contact phone <br /> Phone <br /> <br /> <br /> r address 213 JUDAH ST <br /> ROSEVILLE,CA 95678 <br /> Billing Address 7600 WINDMILL COVE RD <br /> STOCKTON,CA 95206 <br /> Home Phone <br /> Work Phone 209-948-6995 EXT: <br /> District 003-PATTI,TOM Location Code 99-UNINCORPORATED AREA <br /> APN 13`122008 <br /> 19 TWIn do ih­ <br /> —Date Abated —————Inspector ID#�— <br /> ————� —4_ff—————————————— <br /> Send Referral to V Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <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 /> 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 IRS-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 /> omp aint Reviewed by: ate: Updated by: Datei <br /> 5104.rpt <br />