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t � <br /> c � <br /> Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00048155 Site Location: 1851 E ELEVENTH ST Account ID: <br /> Received by: EE0009819 BENIAMINE Received Date: 12/28/2018 Print Date: 12/31/2018 9:07:27AM <br /> Assigned To: EE0000016 HO Assigned Date: 12/28/2018 <br /> Program/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> FIRE DAMAGED SINGLE FAMILY DWELLING. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 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 RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 1851 E ELEVENTH ST RP mailing address <br /> STOCKTON,CA 95206 <br /> Cross Street BIEGHILE <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:DESI BALBIRONA <br /> DBA <br /> Owner address <br /> Billing Address 1851 E ELEVENTH ST <br /> STOCKTON,CA 95206 <br /> Home Phone <br /> Work Phone <br /> District 001-VILLAPUDUA,MIGUEL Location Code 99-UNINCORPORATED AREA <br /> APN 17116145 <br /> Date Abated1uaw <br /> 2 �(q 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 Cited 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 Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File 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 /> Q'Alleged <br /> CTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE#9K 531-Tank pumped <br /> FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed y: Date: _ Updated y: Date <br /> 5104.rpt <br />