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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: CODCEJOBV Site Location: Village West Marina, 6649 Embarcadel Account ID: : <br /> Receivedby: EE0000032 ALANIZ Received Date: 5/23/2017 Print Date: 5/24/2017 8:54:31AM <br /> Assigned To: EE0004636 BACKUS Assigned Date: 5/23/2017 <br /> ProoramlElement Code*2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> Motor boat(6643SJ)in slip E24 has oily sheen around it. <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 INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner Austin Roberts <br /> Site Location 6649 Embarcardero RP/DBA <br /> STOCKTON,CA 95219 RPAddress <br /> <br /> <br /> <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> ---Date Abated Inspector ID#: /Z W4 n <br /> --------------------------------------- <br /> Send <br /> _— --- ---- —=---- _— --- ___Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Reffened to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompamt Reviewed be: pdate y: ate: <br /> 5104.rpt <br />