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Complaint Investigation Form Report#:5104 <br /> COMPLAIN ID: C00036044 Site Location: 6649 EMBARCADERODR Account ID. <br /> Receive by: EE0009488 WONG Received Date: 2/22/2013 Print Date: 2/22/2013 11:38:58AM <br /> Assigned To: EE0002670 NAIDU Assigned Date: 2/22/2013 <br /> Program/Element Code:2546-Release Response Day <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> BOAT FIRE ON VESSEL AT BOAT DOCK CAUSED VESSEL WITH FUEL TANK TO SINK. POTENTIAL RELEASE WAS REPORTED <br /> Complaint Mode: O 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-Internet/Email S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:LINCOLN VILLAGE WEST MARINA <br /> Site location 6649 EMBARCADERO RP/DBA VILLAGE WEST MARINA LT <br /> STOCKTON,CA 95219 RP Address <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 0l-STOCKTON <br /> APN 09815011 <br /> Date Abated Inspector ID#: W/of&zl <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Q ' <br /> Circle appropriate Status Code <br /> / 12-DA Referred Complaint-See Violation Tracking Form <br /> p1)FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 1022-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Regired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 5104 rpt <br />