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► VIiIJComplaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00042547 Site Location: 809 S AURORA ST AccountlD: <br /> Receivedby: EE0000020 MEUANGKHOTH Received Date: 11/14/2016 Print Date. 11/14/201610:31:56AM <br /> Assigned To: EE0009001 MANZO Assigned Date: 11/14/2016 <br /> ProaramzElement <br /> <br /> <br /> <br /> <br /> <br /> Nature of complaint., <br /> PIECE OF EQUIPMENT SPRAYED NON PCB MINERAL OIL ON 11/11/16.ABOUT 1/2 GALLON OF MINERAL OIL RELEASED, <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-Mall/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> _ ----------------- ---------------- -- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party arty or Property Owncr <br /> Site Location 809 S AURORA RP/DBA <br /> STOCKTON,CA 95206 RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone ; <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14731002 <br /> -------------- <br /> ——Date Abated 5- ( �� t — Inspector ID#: qLL1 fi A <br /> -------------- <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 Reqired-See Program Record File <br /> i <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompalnt Reviewed by: ate: ate: <br /> 8 <br /> 5104.mt <br />