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ll <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00049737 Site Location: 11428 W CLOVER RD Account ID: <br /> Received by: EE0009819 BENIAMINE Received Date: 4/30/2019 Print Date: 4/30/2019 4:00:51 PM <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 4/30/2019 <br /> Program/Element Code 4000-VECTOR CONTROL PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> OVERGROWN VEGETATION AND RODENTS. CS-1900643 <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 /> ]-Internet/Email S-Sheriff's Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 11428 W CLOVER RD RP mailing address <br /> TRACY,CA 95376 <br /> Cross Street H W Y 205 <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:DORTHY GOMES <br /> DBA <br /> Owner address <br /> Billing Address 2389 NUTWOOD PL <br /> MANTECA,CA 95336 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 21405005 <br /> Date Abated 5��� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: �1 <br /> Circle appropriate Status Code <br /> 01 -Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> (2.-Referred to Other Agency TZ AC/ Ft jRL tD C'PT• 97-Disaster Planning and Response <br /> Cod Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> fNVIomp ai Updated by: ate: <br /> 5104.rpt W� �J�YAti- <br />