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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00037933 Site Location: 1851 E ELEVENTH ST Account ID: <br /> Receivedby: EE0002424 VELOSO Received Date: 5/5/2014 Print Date: 5/5/2014 12:14 50PM <br /> Assigned To: EE0002424 VELOSO Assigned Date 5/5/2014 <br /> Program/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: :CAPT CARDOZA (MFD) Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com taint: <br /> DETACHED GARAGE CAUGHT ON FIRE; PGE DISCONNECTED TO MAIN SFD. <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-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:DESI A BALBIRONA <br /> Site Location 1851 E ELEVENTH RP/DBA <br /> STOCKTON,CA 95206 RP Address 1851 E ELEVENTH ST <br /> Cross Street B ST STOCKTON,CA 95206 <br /> Billing Address 1851 E ELEVENTH ST <br /> Home Phone <br /> Phone : Work Phone <br /> District 001-VILLAPUDUA Location Code 99-UNINCORPORATED AREA <br /> APN 17116145) <br /> Date Abated 0S oti ll Inspector ID#: ✓�'�,af <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date. <br /> Complaint Status Code: �v <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01 -FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 088--UNABLE TO VERIFY <br /> CIO-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints -SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />