Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
O&A Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047541 Site Location: 26515 N VAIL RD Account ID.- <br /> Receivedby: EE0009819 BENIAMINE Received Date: 10/2/2018 Print Date: 10/2/2018 4:32:54PM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 10/2/2018 <br /> P <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> ----------- ------------------------------------------------------------------------------------------------------------------- - ---------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:MARIO RUIZ <br /> Site Location 26515 N VAIL RP/DBA <br /> THORNTON,CA 95686 RPAddress <br /> <br /> <br /> Home Phone <br /> Phone ; Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00104017 <br /> Date Abated g Inspector/D#: lG?%<' ✓'aym� <br /> Send Referral to Referral Letter Sent by <br /> b Referral Address Date: <br />;1 <br /> Complaint Status Code:l/ /T <br /> 1/ <br /> Circle appropriate Status Code <br /> 01 Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omplaint Reviewedy: yy1 p Date: Updated by: 1VV Dat <br /> 5104.rpt <br />