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I cT V <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00014038 Site Location: 1121 S ANNABELLE <br /> AccountlD: <br /> Received by: EE0002282 RABACA Received Date: 5/3/2000 <br /> Assigned To: EE0002282 RABACA Assigned Date: 5/3/00 <br /> Program/Element Code *&PC-ROUSING ABATEMENT PROGRAM <br /> Complainant: CDS Home Phone: <br /> Address: <br /> Work Phone: <br /> Nature of complaint: <br /> THERE ARE SEVERAL SUBSTANDARD DWELLING UNITS ON THIS PARCEL <br /> Complaint Mode Complaint Mode Codes A-Agency Refers B-Bd of Supervisors/Citi C-Count( E-Code EnforcemE <br /> M-Mail/Corresponds O-Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party: <br /> Site Location: 1121 S ANNABELLE <br /> DBA: <br /> STOCKTON,CA RP Address: <br /> Billing Address: <br /> Phone: <br /> Phone: Hm: <br /> Wk: <br /> District: 003-SIMAS, EDWARD Location Code: 99-UNINCORPORATED AREA <br /> APN: r <br /> Date Abated: J ' �- -� I f„#44 641,W) <br /> Inspector: Z1.1-2� S <br /> Send Referral to: <br /> Referral Address: Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case- New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04- Notice To Abate Issued 17- 15-Day Letter Sent <br /> 05- Enforcement Action Initiated 50- Lead Hazard Evaluation Required(1) <br /> 06- EHD Permit Facility-See Linked Premise File 52- Lead Hazard Abatement in Progress(3) <br /> 07- Referred To Other Agency 53- Lead Hazard Usual Inspect Satisfactory (4) <br /> 08- Invalid/Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09- Foodborne Illness 54- Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Tra nsferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />