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F� <br /> F " Complaint Investigation Form <br /> Report#:5104 <br /> C&MPLAINT ID: C00035275 Site Location: 2540 ANTONIE CT Account ID: <br /> Received by: EE0002089 SOOD Received Date: 8/2/2012 <br /> Print Date: 8!2/2012 8:22:52AM <br /> Assigned To: EE0002089 500D Assigned Date: 8/2/2012 <br /> Program'Element code: <br /> <br /> <br /> <br /> : <br /> EBLL CHILD(TRIPLEX 2536-2538-2540) <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> — —— — —T —— —— —— — <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:DAVID R&LIZETH 1 ADAMS <br /> Site Location 2540 ANTONIE RP/DBA <br /> STOCKTON,CA 95209 RP Address <br /> 2536 ANTONIE CT <br /> Cross Street STOCKTON,CA 95209 <br /> Billing Address 2536 ANTONIE CT <br /> I <br /> Nome Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA Location Code 01-STOCKTON <br /> APRT 08213012 <br /> i <br /> Date Abated O i Lr( I'� Inspector ID#. -o 5 -0 <br /> 1 uv0d--- ----------- = -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> I , <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified s <br /> 03-NAI SENT -229-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SU BSTAN DARDIU N SECU RED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# i <br /> 53 D4 rpt <br />