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Complaint Investigation Form Report it: 5104 <br /> COMPLAINT ID: C00039 0 Site Location: 108 S OLIVE AVE Account ID, : <br /> Receivedby: EE0008987 SANGALANG Received Date: 5/11/2015 Print Date: 5/11/2015 3:15:36PM <br /> Assigned To. EE0008987 SANGAL <br /> <br /> Complainant: : DEPUTY NORTH-SHERIFFS OFFICE-CS-1500409 Home Phone <br /> Address - Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> OCCUPIED RV. ""'CST... <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-Shenfrs Office <br /> -- - - --- - - -- ------------------------------------- — <br /> PROPERTY INFORMATI <br /> ETTER <br /> Site Location 1085 OLIVE RP/DBA : `ZjSD� Mt�� SPfj wO15 �� <br /> STOCKTON,CA 95215 RP Address 1146T^ *�wr�a 219 <br /> Cross Street WASHINGTON X289— <br /> Billing AddressL-+r; sAenttls�SE1 TSR <br /> �e P C./�czwc-$- <br /> Home Phone <br /> Ono � <br /> Phone Work Phone _ <br /> r r <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15733116 <br /> Date Abated 12,Z, <br /> (r l�S Inspector ID#: <br /> -- — ————————— ——————— <br /> Send Rete toReferral Letter Sentb <br /> Referral Address Date: <br /> Complaint Status Code: O <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> IELD ABATED 26-FOODBORNE ILLNESS-No Major Violations Identified <br /> 2-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 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-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp amt Reviewed by (A_I JG I se-A ate1 / (SUpdated by: a e: <br /> E 10 rpt <br />