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Complaint Investigation Form Report#:5104 <br /> COMPLAINT C00026358 Site Location: 25520 E HWY 4 AccountlD: <br /> Received : EE0001084 RAMIREZ Received Date: 5/14/2007 Print Date: 511812007 S:17:50AM <br /> Assigned To: EE0000369 BIEDERMANN Assigned Date: 5/1412007 SCANNED <br /> Program/Element Code:1320-SUBSTANDARD HOUSING COMPLAINT ���+ <br /> Complainant: : <br /> <br /> Nature of complaint., <br /> UNSAFE STRUCTURE-GENERAL STORE.COMPLAINT RECEIVED FROM CAL-OSHA. <br /> Complaint Mode' E Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ---------—--------------------------------------- <br /> PROPERTY <br /> ---- ------ ------ ----- <br /> PROPFRTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:LODGE(95 IQOF FARMINGT <br /> Site Location 25520 E HWY 4 RP/DBA <br /> FARMINGTON,CA RP Address %POST OFFICE <br /> FARMINGTON,CA 95230 <br /> Billing Address %POST OFFICE <br /> Home Phone : ov ra <br /> _��71r r� <br /> Phone Work Phone <br /> District 004-VOGEL,KEN Location Code 99 ORPORATED AREA 7 <br /> APN 18722001 a 8�- ,J 3 $^z_ <br /> Date Abated G/71 7 Inspector: 1?V.?7 <br /> -------------- - ----------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> 111CPP1-P11i-1te <br /> plant Status Code: © { �� {7 p 1o'Oaesti►CStatus Code W <br /> 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 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-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 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint �'.OT"r la1lit 1�1S1. <br /> 31-15 Da Letter Sent-Alleged ed Complaint iL1aC�:L But t <br /> 11-Multiple Complaints-SEE ACTIVE CASE# Y 9 <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) scanned <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> completed <br /> 5104.rpt <br />