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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00038663 Site Location: 6649 EMBARCADERO Account ID. AR0003418 <br /> Received by. EE0005642 HENRY Received Date: 10/7/2014 Print Date: 10/7/2014 4:25:12PM <br /> Assigned To EE0005642 HENRY Assigned Date: 10/7/2014 <br /> Program/Element Code_2361 -UST FACILITY <br /> Complainant: :TERRY CRAIG-HARBOR MASTER Home Phone 209-9i I-I;5 I <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com taint: <br /> SMALL SHEEN SEEN UNDER ABOVE GROUND PIPING. LINES SHUT OFF. (C)BELIEVES DIESEL PIPE IS LEAKING.CONTACTED DUTY <br /> OFFICER TO COME EVALUATE. <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-Internet/Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003830-VILLAGE WEST MARINA Owner: OW0002836-PEGASUS GROUP <br /> Site Location RP/DBA VILLAGE WEST MARINA <br /> STOCKTON,CA 95219 RP Address 6649 EMBARCADERO DR <br /> Cross Street EMBARCADERO STOCKTON,CA 95219 <br /> Mailing Address: 6649 EMBARCADERO DR Billing Address 6649 EMBARCADERO DR <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Home Phone <br /> Phone :209-951-1551 EXT: Work Phone :925-930-0810 EXI: <br /> District 002-RUHSTALLER,LARRY Location Code <br /> APN 09815006 <br /> Date Abated 6 Inspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 71 <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 /> (ol-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 /> 5104 rpt <br />