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�,., tJ <br /> Complaint Investigation Form Report# 5104 <br /> COMPLAI.J't ID: C00049700 Site Location: 12731 N JACKTONE RD Account ID <br /> Received by EE0002089 SOOD Received Date 4/24/2019 Print Date 4/24/2019 1:42 43PM <br /> Assigned To EE0009819 BENIAMINE Assigned Date 4/24/2019 <br /> r r m¢IemenLCQd. 1322-SUBSTANDARD HOUSING <br /> Complainant. DENNIS Home Phone 209-747-8258 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> HOUSE WAS BURNT A FEW YEARS AGO.WHICH HAS LEFT MOST OF THE HOME UNINHABITABLE BUT SOMEONE IS LIVING THERE ON AND <br /> OFF,POSSIBLY SQUATTERS. CS-1900529 <br /> Complaint Mode E Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fac <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet i Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> PrupertN Name: RP DBA <br /> Site Location 12731 N JACKT-ONE RD RP mailing address <br /> L.ODI,CA 95240 <br /> Cross Street ATKINSON <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property 0ti,iner:DANIELMAGGINI:I-I'1 <br /> DBA <br /> Owner address <br /> Biding Address 12731 N JACKTONF-RD <br /> LODI,CA 95240 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN-CI IARLFS Location Code ()<)-UNINCORPORATED AREA <br /> APN 06327012 <br /> Date Abated 51l y�lw 9 Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01 -Field Response-Violations Cued 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 Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verity Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10 POSTED SUBSTANDARD/UNSECURED-See Housing File �l\�sly 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 /> ,i1mp amt Reviewed by „„/I� ate� � t I A pate y ate: G• <br /> 5104 rpl <br />