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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: 000042672 Site Location: 3263 E CHEROKEE RD Account ID: <br /> Receivedby: EE0006219 DUNCAN <br /> Assigned To: EE0002670 NAIDU Received eDate: 12/12/2016 Date: 12/12/2016 Print Date: 12/12/2016 4:18:56PM <br /> Assign <br /> Pmaiam / rrnt Code.2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: :LES THOMLASEN VIA CDD CS#1601420 <br /> Home Phone <br /> Address : 209-462-3296 <br /> Work Phone <br /> -Mail Address <br /> Nature of com taint: <br /> USED OIL DEBRIS SCATTERED ALL OVER LOT. <br /> Complaint Mode: E Complaint Mode Codes A- <br /> Agency Referral a-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-Sheriffs Once <br /> — - -----------------------------------_________ _________________________ <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Parry or Property Owner.RANDALL P RAJKOVICH ETAL <br /> 263 <br /> Site Location 3E CHEROKEE RPiDBA <br /> STOCKTON,CA 95205 RP Address 6475 CAMDEN AVE#202 <br /> Cross Street WIGWAM SAN JOSE,CA 95120 <br /> Billing Address 6475 CAMDEN AVE#202 <br /> Home Phone <br /> Phone : Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 13207010 <br /> Date Abated '�I�.1,'�. Inspector ID M �& <br /> _--_—__---_— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: R1 Q <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 Volagons Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-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 /> Refferred to Other Agency <br /> OB Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> � <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 /> omplamt Reviewed by: ate: Updated <br /> 5104.rpt r!� <br />