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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00047572 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> AND MICE.PLEASE CALL COMPLAINANT PRIOR TO SITE <br /> VISIT, <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-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:MOSTAFA DASTGHEIB <br /> Site Location 4118 E SECTION RP/DBA <br /> STOCKTON,CA 95215 RP Address PO BOX 1132 <br /> Cross Street ORO MILLBRAE,CA 94030 <br /> Billing Address PO BOX 1132 <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 99-UNINCORPORATED AREA <br /> APN 17318102 <br /> J <br /> Date Abated / / / Inspector ID#: � 14 r��^ _ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> (9-Office Response Only 52-LEAD Abatement Reqired-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 Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-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 /> 26-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omplaint Reviewed y: ate: I I/� p ated by: at <br /> 5104.rpt 1 _I <br />