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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048175 Site Location: 510 E VINE ST Account ID: <br /> Received by: EE0000753 NG Received Date. 7/26/1991 Print Date: 1/2/2019 9:30:36AM <br /> Assigned To: EE0000753 NG Assigned Date: 1/2/2019 <br /> Program/Element Code 3600-RECREATIONAL HEALTH PROGRAM <br /> <br /> <br /> <br /> Nature ofcomplaint: <br /> SWIMMING POOL HAS GREEN COLOR.GARBAGE AROUND CANS.CHILD HAD AN EAR INFECTION DUE TO STAGNATED WATER IN POOL. <br /> SEEN A DOCTOR,CAN'T SEE BOTTOM OF POOL <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet I Email S-Sheriffs Office <br /> ---------- -------------------- --- -------- - -- - ----- <br /> PROPERTY <br /> ------- ----- —___—_ --_--_ _-- -- -- - __ _ __—_—PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 510 E VINE ST RP mailing address <br /> LODI,CA 95240 <br /> Cross Street GARFIELD <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:CLADIS JENKIINS INVESTORS PROPERTY <br /> DBA <br /> Owneraddress <br /> Billing Address 755 S FAIRMONT AVE#A-2 <br /> LODI,CA 95242 <br /> Home Phone 209-369-9556 <br /> Work Phone <br /> District 004-W INN,CHARLES Location Code 02-LODI <br /> APN 04739016 [� <br /> Date Abated dqmliq Inspector lD <br /> --_------Ir-------------------- _ <br /> Send Referral to Referral Letter Sent by <br /> Refemal Address Date: <br /> Complaint Status Coder <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 /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint &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 /> amp amt Reviewed by: ate: Updated by: a e:r tq <br /> 5104.rp1 <br />