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r � <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT C00023962 Site Location: 25520 E HWY 4 A 0000066 <br /> Received by: EE0008373 JACKSON Received Date: 2/3/2006 Prin ate: 2/3/2006 4:03:20PM <br /> Assigned To: E0001084 RAMIREZ Assigned Date- 2/3/2006 rj C �#�t <br /> Program/Element Code:1300-HOUSING ABATEMENT PROGRAM 00 <br /> G,4M ED <br /> Complainant: :JOHN JACKSON Home Phon <br /> Address Work Phone <br /> Nature of com Taint: <br /> STORE WAS HIT BY A VEHICLE(SEE ATTACHED PHOTO). BUILDING IS STARTING TO LEAN OVER. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------- <br /> FACILITY <br /> — ------ ---------------- -------- ------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000067-FARMINGTON GENERAL STORE Owner: OW0000056-LADIGES,ROBERT C/ANTOINETTE K <br /> Site Location 25520 E HWY 4 RP/DBA FARMINGTON GENERAL STORE <br /> FARMINGTON,CA 95230 RPAddress PO BOX 94 <br /> FARMINGTON,CA 95230 <br /> Mailing Address: PO BOX 94 Billing Address PO BOX 94 <br /> FARMINGTON,CA 95230 FARMINGTON,CA 95230 <br /> Nome Phone ;209-886-5556 <br /> Phone :209-886-5544 Work Phone :209-886-5544 <br /> District 004-SEIGLOCK,JACK Location Code 99-UNINCORPORATED AREA <br /> APN 18722001 y <br /> Date Abated — 'L} t�l Inspector. O� <br /> Send Referral to 1` 1 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 161egiTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED !`f8/ ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) Aft <br /> off— <br /> Complaint History <br /> Attached But Not <br /> Scanned <br /> 5104.rp1 <br />