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Complaint Investigation Form Report#:5104 <br /> +aA <br /> '_�rOMPLAINT ID: C00020620 Site Location: 221 CARDINAL AVE Account ID: <br /> Received by: EE0068373 JACKSON Received Date: 4/8/2004 Print Date. 418!2004 3:48:31PM <br /> Assigned To: EE0008373 JACKSON Assigned Date: 4/8/2004 <br /> Proram/Element Code.2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: :LAWRENCE RITTLE Home Phone <br /> Address Work Phone <br /> Nature of complaint. <br /> CHEM{CALS ARE BEING DUMPED ONTO THE GROUND <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:FLYN MAC <br /> Site Location 221 CARDINAL RP/DBA ; <br /> STOCKTON,CA RP Address <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN ; <br /> Date Abated Inspector., <br /> Send Referral to I Referral Letter Sent by <br /> Referral Address Date: <br /> �f <br /> - 1 <br /> Complaint Status C de: Of <br /> Circle appropriate Stat Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 t.TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> Ota-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> i <br /> C® �� <br /> CO �Sd� <br /> 5104'�iAt <br /> t <br />