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Complaint Investigation Form Report#: 5104 f <br /> COMPLAINT ID: C00043103 Site Location: 1121 S ANNABELLE LN AccountlD <br /> Receivedby.: EE0000321 OLIVEIRA Received Date: 3/13/2017 Print Date. 3/13/2017 2:44:21PM <br /> Assigned To: EE0000321 ON� S-As i&A -A +C, Assigned Date: 3/13/2017 <br /> Prooram/Element Code.1315-OCCUPIED RV <br /> Complainant: :CDD CS-1700220 Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> WHITE AND GRAY TRAILER PARKED ON THE PROPERTY WITH PEOPLE LIVING IN IT. <br /> Complaint Mode: E 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-Shedfrs Office <br /> ----------------------------------------- - --- -- <br /> PROPERTY <br /> ----------------- --_---_--_--_--- __-- - - - --PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> a <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 1121 S ANNABELLE RPiDBA 3 STAR INVESTMENTS LLC ET 'I �� <br /> STOCKTON,CA 95215 RP Address PO BOX 8871 <br /> Cross Street MAIN STOCKTON,CA 95208 <br /> Billing Address PO BOX 8871 <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 17320012 <br /> Date Abated 3 3/� Ins Pctor 10#: <br /> ------ --- —a---—Q—�6—'G—'C—A'n9 <br /> ----- <br /> Send Referral to Referral Letter Sent by <br /> Rehana/Address /1 Date: <br /> Complaint Status Code: A <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 /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Fathered to Other Agency <br /> Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-Sae Housing File RS-Resolved-Naw Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> OM <br /> Reviewed by: L-t✓fit P'—f� Date: 3I i Updated by Date. <br /> 33,/-/7 <br /> 7 <br /> 5104 rpt <br />