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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00033586 Site Location: 545 E CLEVELAND STE A Account ID: <br /> I <br /> Received by: EED002620 ARAMBULA Received Date: 5/17/2011 Print Date: 5/17/2011 12:02:48PM <br /> Assigned To: EE0003973 IMCCLELLON Assigned Date: 5/17/2011 <br /> Program/Element Code: 500-MEDICAL WASTE PROGRAM if <br /> Complainant: : <br /> <br /> <br /> <br /> Nature of complaint. <br /> MEDICAL WASTE GENERATOR GENERATING MEDICAL WASTE WITHOUT SUBMITTING A CERTIFICATION STATEMENT TO THE EHD. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> 14riternet 1 Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:JAMES R&KAZUKO POPPLEWELL TR <br /> Site Location 545 E CLEVELAND STE A RP/DBA : <br /> STOCKTON,CA 95204 RP Address <br /> <br /> <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 12723003 <br /> Date Abated lRPlr Inspector: <br /> Send Referral to C3 I Referral Letter Sent by <br /> Referral Address Date. <br /> Complaint Status Code: 0 <br /> 1 <br /> Circle appropriate Status Code <br /> I <br /> 1 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> I <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> I <br /> I <br /> f <br /> 51 rpt <br />