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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000044395 Site Location: 25775 PATTERSON PASS RD Account to: : <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 2/16/1993 Print Date: 9/18/2017 1141:30AM <br /> Assigned To: EE0000753 NG Assigned Date: 9/18/2017 <br /> Procram/Element CodE1600-FOOD PROGRAM <br /> Home Phone <br /> Complainant: :ANONYMOUS <br /> Work Phone <br /> Address <br /> MailAddress <br /> Nature ofcomplaint: <br /> COMPLAINT WAS FOUND AND ALLEGES'RESTROOMS ARE LOCKED.PEOPLE ARE URINATING OUTSIDE BY THE BATHROOMS'ORIGINAL <br /> COMPLAINT#930233 ON 2/16/93.(GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATABASE FOR FUTURE REFERENCE) <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 0-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> __ — ————————————— —————— ———— ———— <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ARCO AMPM <br /> Site Location 25775 PATTERSON PASS RPiDBA ARCO AMPM <br /> TRACY,CA 95377 RPAddress <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 20910004 <br /> Date Abated ;I-ra-3 A'Lj Inspector ID#:------------------------------------------------- <br /> N <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 08-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 /> ompaint Reviewe y: 1 - Date:g)".-in <br /> s,N�T p ate y: ate: <br /> 5104.rpt kA <br /> `� <br />