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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00047635 Site Location: 12731 N. JACKTONE RD Account ID. <br /> Received by EE0002089 SOOD Received Date. 10/23/2018 Print Date: 10/23/2018 9.5224AM <br /> Assigned To. EE0009819 BENIAMINE Assigned Date: 10/23/2018 <br /> Eram/Element Code:1322-SUBSTANDARD HOUSING <br /> Complainant :ANONYMOUS Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> HOUSE IS BARRED DUE TO RECENT FIRE,SOME OF THE BOARDS WERE REMOVED AND IT IS NOW OCCUPIED .C5-1801503 <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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Prulicrh\rime: IRcspumrhlc Pari or PnrperiN(hutcr.DANIEL 6IAGGINETI'l <br /> Site Location 12731 N JACKTONE RP/DBA <br /> LODI,CA 95240 RP Address 12731 N JACKTONE RD <br /> Cross Street ATKINSON LODI,CA 95240 <br /> Biking Address 12731 N JACKTONE RD <br /> Home Phone <br /> Phone Work Phone <br /> District 004-WINN,('I IARL.ES Location Code 99-UNINCORPORATED AREA <br /> APN 06327012 <br /> Date Abated l Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: D 2 <br /> Circle appropriate Status( ode <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> Office Response Only G V-,o5 52-LEAD Abatement Regired-See Program Record File <br /> 06-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 Verity Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PO-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 Reviewed by- yy <br /> ate . 1 r�, pdated by. ate' <br /> i <br /> 5104 rpt <br />