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Imp "d Complaint Investigation Form Report#: 5104 <br /> COMPLICINT ID:',C00043982 Site Location: 3919 E FRENCH CAMP RD Account/D: AR0010738 <br /> Receivedby: EE0006213 PEDRAZA Received Date: 8/10/2017 Print Date: 8/10/2017 4:02:20PM <br /> Assigned To: EE0008999 HUYNH Assigned Dete: 8/10/2017 <br /> Proaram/Element Code9600-RECREATIONAL HEALTH PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT STATES THAT THEY AND THEIR CHILDREN BREAK OUT WITH RASHES WHEN THEY SWIM IN THE POOL.THE LIGHT DOES <br /> NOT FUNCTION AND THE POOL IS USED AT NIGHT,THE WATER IS CLOUDY.CHLORINE TABLETS ARE PLACED IN THE SKIMMER AND AT <br /> THE BOTTOM OF THE POOL. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement Whiail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0007273-FRENCH CAMP GOLF COURSE Owner: OW0005994-FRENCH CAMP RV LLC <br /> Site Location 3919 E FRENCH CAMP RD RPiDBA FRENCH CAMP RV PARK <br /> MANTECA,CA 95336 RP Address 3919 E FRENCH CAMP RD <br /> Cross Street HWY99 OFF RAMP MANTECA,CA 95336 <br /> Mailing Address: p.o.box 1500 Billing Address PO BOX 1500 <br /> French Camp,CA 95231 FRENCH CAMP,CA 95231 <br /> Home Phone :209-234-3001 EXT: LLC <br /> Phone :209-234-1544 EXT: Work Phone :209-234-8390 EXT: <br /> District 001-VILLAPUDUA,CARLOS Location Code 99-UNINCORPORATED AREA <br /> APN 201-030-14 <br /> Date Abated G7-7J-+- Inspector ID#: <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Refemal Address Date: <br /> Complaint Status Code: V1 <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 Reviewed by: ate: pate y: Dat <br /> u <br /> 51o4.rpt <br />