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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00038520 Site Location: 6649 EMBARCADERO Account ID <br /> Receivedby: EE0009058 LOWE Received Date: 9/12/2014 Print Date- 9/12/2014 9:36:34AM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 9/12/2014 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> LATERAL PIPE ON TOP OF BANK DRAINING SEWAGE INTO FOURTEEN MILE SLOUGH. STATED COMING FROM PRIVATE LOT. UNKNOWN IF <br /> HOME IS ON LOT. <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-Sheriffs Office <br /> ———————— ———— ------- <br /> PROPERTY <br /> ----- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name Responsible Party or Property Owner <br /> Site Location 6649 EMBARCADERO RP/DBA LIVAL INC <br /> STOCKTON,CA RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone : Work Phone <br /> District 001-VILLAPUDUA Location Code O1-S"rOCKTON <br /> APN <br /> ——Date Abated _!�r Z4L Inspector ID#.- <br /> -- <br /> .— --- --- -- - - - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: t_-I <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 Reqired-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 /> C07r REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> s 104-t <br />