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. � Complaint Investigation Form Report#: 5104 <br /> CCIMPLAINT ID: C00040407 Site Location: 5044 ARDELL AVE Account ID: <br /> Received by: EE0000025 SEDRA Received Date: 9/21/2015 Print Date: 9/22/2015 10:46:35AM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 9/22/2015 <br /> Program/Element CodeA200-LIQUID WASTE PROGRAM <br /> Complainant: :ALFFRED PORSCH III Home Phone 209-390-3824 <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> SEPTIC TANK IS COVERED BY 2 PIECES OF PLYWOOD.THE RESIDENTS ARE PUMPING SEWAGE INTO THE BACK YARD. <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 O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ---------------------------------------------- - -- -- - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:DONALD T BLEVINS <br /> Site Location 5044 ARDELL RP/DBA : <br /> STOCKTON,CA 95215 RP Address 5044 ARDELL AVE <br /> Cross Street WALKER STOCKTON,CA 95215 <br /> Billing Address 5044 ARDELL AVE <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNIN OR AT D AREA <br /> APN 15912021 <br /> ———Date Abated CII p�l Inspector ID#: J k F t oo <br /> —--———————————————————— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: I <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 04 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFLRRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring 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 /> omplaint Reviewed by: ate: pdated by: ate: <br /> 5104.rpt <br />