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i <br /> 6. "Z <br /> Complaint Investigation Form Repflrr#'5104 <br /> COMPLAINT ID: C00015767 Site Location: 3431 CHERRYLAND#%X CH rN OK)C Account ID: AR0004249 <br /> Received by: EE0000099 Frost Received Date: 4/10/2001 <br /> Assigned To: EE0000844 NORGARD Assigned Date: 4110101 <br /> Prooram/Element Code: 4200-LIQUID WASTE PROGRAM <br /> <br /> <br /> !Nature of complaint: i.. <br /> PIPES ARE BROKEN, SURFACING SEWAGE. PLEASE CALL MANAGER. <br /> ,i <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council , E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0004168-CARIBOU MOBILE PARK PWS Owner: OW0001557-ESQUIVEL, PABLO&MAVY <br /> RP/DBA: <br /> Site Location: 3431 CHERRYLAND AVEi <br /> RPAddress: 3542'MILLICENT CT <br /> STOCKTON,CA 95205 SAN JOSE;'CA 95148 <br /> Mailing Address: 3542 MILLICENT CT <br /> SAN JOSE,CA 95148 Billing Address:: 3542 MILLICENT CTI <br /> SAN JOSE, CA 95148 <br /> Phone: Phone: 3 <br /> Wk: 408-238-4127 <br /> District 002-MARENCO, DARIO Location Code 99-UNINCORPORATED AREA ' <br /> APN CARIB34 <br /> 3 <br /> Date Abated I <br /> Inspector <br /> i <br /> Send Referral to. <br /> Referral Address: <br /> i <br /> Referral Letter Sent by, <br /> Date: <br /> Complaint Status Code: <br /> i. <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 To Abate Issued 17- 15-Day Letter Sent <br /> 05-Enf orcement Acti on Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07- Referred To Other Agency 53- Lead Hazard Visual Inspect Satisfactory(4) <br /> 08- Invalid 1 Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09- Foodborne Illness 54- Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> i <br /> 0104.rpt <br />