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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000044555 Site Location: 302 W BENJAMIN HOLT <br /> Account ID: <br /> Received by: EE0000007 MORELLI <br /> Received Date: 9/2 512 01 7 Print Date: 9/25/2017 3:49:05PM <br /> Assigned To: EE0000034 AHMED Assigned Date: 9/25/2017 <br /> Prooram/Elemenf Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> <br /> Nature of corn taint: <br /> PER THE CALLER THERE WAS DAMAGE TO A LOWER LATER CAUSING SEWAGE TO COME OUT OF A CLEAN OUT.APPROXIMATELY 6,000 <br /> GALLONS. <br /> int Mode Codes A-Agency Referral B-ed of Supervisors/City Council C-Counter F-Fax <br /> Complaint Mode: p Compla <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office ______ <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Responsible Party or Property Owner:CITY OF STOCKTON <br /> Property Name: <br /> RP/DBA <br /> Site Location 302 W BENJAMIN HOLT <br /> STOCKTON,CA 95207 RPAddress <br /> Cress Street INGLEWOOD <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 0812800212-5-117 <br /> Date Abated 9/2,5/17 Inspector ID#: �� <br /> —_--__--_ <br /> Referral Letter Sent by <br /> Send Referral to Date: <br /> Referral Address r� <br /> Complaint Status Code: (11 <br /> Circle appropriate Status Code <br /> Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 2 52-LEAD Abatement Regired-See Program Record File <br /> Office Response Only <br /> 97 Disaster Planning and Response <br /> Violations Cited-see Linked PROGRAM FACILITY FILE <br /> - <br /> 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-Permit Issued-Pending Well Installation <br /> Monitoring Status <br /> PD-Perm <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> ed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank Hooked <br /> up <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hoo public sewer <br /> 28-Alleged FBI-No Major Violations Identified 53-Septic system <br /> tto em repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> DateI Updated y: ate: <br /> omp aint Reviews y: 1/1 �(, - � r <br /> 5104.rpt / 1 <br />