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•. `-, - Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00022693 Site Location: 4835 W ELEVENTH ST Account ID: <br /> Received by: EE0002089 SOOD Received Date: 5/9/2005 Print ate: 5/9/2005 4:38:04PM <br /> Assigned To: EED005642 HENRY Assigned Date: 5/9/2005 n� <br /> Prooram/Efement Code:1300-HOUSING ABATEMENT PROGRAM <br /> Complainant: ; Nome(hone <br /> Address Work : <br /> Nature of complaint. <br /> SUBSTANDARD HOUSING. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> W— <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:THOMAS&JULIE BERTRAM <br /> Site Location 4835W ELEVENTH RP/DBA APN 250-110-07 <br /> TRACY,CA RPAddress 4835 W ELEVENTH ST <br /> TRACY,CA 95376 <br /> Billing Address 4835 W ELEVENTH ST <br /> Home Phone ; <br /> Phone Worts Phone : <br /> District 005-ORNELLAS,LEROY Location Code 9y--�1JNINGORPORATED AREA <br /> APN 25011007 <br /> Date Abated �� I C1 Inspector. (} y1 <br /> ————————— — 1——— —T ————— ————— —.——--- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: D <br /> Circle appropriate Status Code <br /> I <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 TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06�yHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 0 -REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> -UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> p <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> CA4 <br /> z <br /> 51 D4.rpt <br />