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N <br /> M Complaint Investigation Form Rel 5104 <br /> COMPLAINT ID: 000043246 Site Location: 26263 N THORNTON RD Account ID.. <br /> Receivedby.' EE0000321 OLIVEIRA Received Date: 4/10/2017 Print Date: 4/10/2017 11:15:57AM <br /> Assigned To: EE0006944 ESCOTTO Assigned Date: 4/10/2017 <br /> Pmcrem/Element 2 de:4200-LIQUID WASTE PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> SEPTIC SYSTEM IS FAILING AT THIS BUSINESS <br /> Complaint Mode: E Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Shenfrs Office <br /> -- ----------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:TROST,THOMAS B <br /> Site Location 26263 N THORNTON RP/DBA <br /> THORNTON,CA 95686 RP Address 26263 N THORNTON RD <br /> Cross Street THORNTON,CA 95686 <br /> Billing Address 26263 N THORNTON RD <br /> Home Phone 12 1 S/� (,&-J l�,S <br /> Phone Work Phone D 0 9.6.y hL�E <br /> District 004-W WN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00119065 q� p <br /> Date Abated �i Inspector ID#: /�'/ P — h�CJL LCJ <br /> Send Referral to Referral Letter Sent by <br /> Retenal Address Date: <br /> Complaint Status Code: C <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReHerred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitonng Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp amt Reviewed upcale( y. <br /> 51N,rpt <br /> 1 <br />