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r <br /> Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00038852 Site Location: JACKTONE RD Account ID: <br /> Received by EE0002474 PARISSI Received Date. 11/10/2014 Print Date: 11/10/2014 10:12:23AM <br /> Assigned To EE0002474 PARISSI Assigned Date: 11/10/2014 <br /> Program/Element Code:2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> ABANDONED BUTANE CONTAINERS <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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location JACKTONE F13 RP/DBA <br /> RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> -Date Abated — `f_ �7 . j Lf� Inspector ID#: ✓^ 5�' <br /> Send Referral to / 1 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 /> pFIELD 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 /> 07-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 />