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qAAIComplaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00042328 Site Location: 345 S ADELBERT AVE Account ID: <br /> Receivedby: EE0000025 SEDRA Received Date: 9/30/2016 PrintDate: 9/302016 10:01:25AM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 9/30/2016 <br /> Pmcram/Element Code. <br /> <br /> <br /> <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES THAT OWNER HAS BEEN LIVING IN THE GARAGE SINCE THE HOUSE CAUGHT FIRE 4 YEARS AGO.THERE ARE <br /> FECES AND TOILET PAPER ON THE FLOOR OF THE HOUSE.RATS IN THE HOUSE.ELECTRIC IS BEING PROVIDED BY ELECTRIC CORDS <br /> FROM A NEIGHBOR,OWNER AND FRIENDS URINATE OUTSIDE AND THIS WAS SEEN BY A CHILD. <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-Sherifrs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ROBERTO HERNANDEZ <br /> Site Location 345 S ADELBERT RP/DBA <br /> STOCKTON,CA 95215 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15732205 <br /> Date Abated /'D/,f Inspector ID#: <br /> —Send Referral to — --------- ---- Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 08-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReHerred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> lam' -POSTED SUBSTANDARD/UNSECURED-See Housing File HIS-Resolved-New Well Installed <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaintReviewed y: ate Updated y ate' <br /> OUIUCI �A to S !6 it> / <br /> 5104 m1 <br />