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Repot#:5104 <br /> Complaint Investigation Form count ID: AR0004533 <br /> . �.. . <br /> AINT ID: C00015338 Site Location: 525 W ACACIA ST121261z000 <br /> COMPL Received Date. <br /> Received by: EEoo00451 SASSON Assigned Date: 12126100 <br /> Assigned To: EE0000451 SASSON <br /> Pro ram/Element Code: 2546-GENERATOR RESPONSElCLEAN UP Home Phone: <br /> Complainant: Work Phone: <br /> Address: <br /> Nature of complaint: <br /> DAMERON HOSPITAL DISCHARGING SEWAGE INTO STORM DRAIN,OUT FLOW O <br /> TSMITH CAN <br /> E-Code Enforcement <br /> enc Referral B-Bd of 5upervisorslCity Council P_Phone <br /> Complaint Mode A Complaint Mode Codes: A Ag Y C Counter <br /> M-MaillCorrespondence 0-Other EH Unit <br /> OWNER INFORMATION <br /> FACILITY INFORMATION <br /> _ Owner: OW0002138"DAMERON SDAMERON HOSPITAL <br /> RP1D8A: <br /> Facility: FA0002864-DAMERON HOSPITAL <br /> - RP Address: 525 W ACACIA <br /> Site Location: 525 Al ACACIA ST STOCKTON.CA 95203 <br /> STOCKTON,CA 95203 <br /> i3illing Address:: 525 W ACACIA <br /> Mailing Address: 525 W ACACIA STOCKTON,CA 95203 <br /> STOCKTON,CA 95203 phone: <br /> phone: 1st: 209-944-5550 ;W k: 209-944-5550 <br /> District 001 -GUTIERREZ,STEVE <br /> Location Code 01 -STOCKTON <br /> APN 137-153-04 ]J <br /> Date Abated <br /> inspector - <br /> C ' <br /> .i <br /> Send Referral to-- <br /> Referral <br /> o:Referral Address: <br /> w <br /> Referral Letter Sent by: <br /> Date: , <br /> Complaint Status Cade: +J�J—�'r� 10_Substandard Property-See HOUSING ABATEMENT File <br /> b Field Abated 15-Active Housing Case-New Complaint See Active Case <br /> # <br /> C`ff2-Office Abated 16-Letter.Sent To Tenant <br /> 03-NAI Sent 17-15-Day Letter Sent <br /> 04-Notice To Abate issued 50-Lead Hazard Evaluation Required(1) <br /> 05-Enforcement Action Initiated 52-Lead Hazard Abatement inSa irsfactss(3) (4) <br /> 06-EHD Permit Facility-See Linked Premise File 53-Lead Hazard Visual Inspect <br /> 07-Referred To Other Agency 51 -Lead Hazard Work Plan Submitted(2) <br /> 08-invalid 1 Unable To Verify 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> pg_Foodborne Illness 55-Lead Hazard Monitoring Schedule (6) <br /> L <br /> 11 -Multiple Complaints-See Active Case# 56-Lead Hazard AbatemeVacantnt pWlSleteoil Contamination <br /> 12-Enforcement Case-Transferred To LIQUID WASTE Fie 57-Lead Hazard Property58-Lead Hazard Case-See Active File For This Site <br /> 14-Enforcement Case-Transferred To ER File <br /> -Transferred To SOLID WTE File <br /> 0104.rpt <br />