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=R+ Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00039141 Site Location: JACK TONE RD Account 1D* <br /> Received by: EE0008709 DE LA ROSA Received Date: 1/26/2015 Print Date: 1/26/2015 11:51:28AM <br /> Assigned To: EE0008709 DE LA ROSA Assigned Date: 1/26/2015 <br /> P=ramlElement Code 2548-Non-Release Response-HazCaUChemical Pickup <br /> Complainant: Complainant Not Specified Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of com taint: <br /> 1 AUTOMOTIVE BATTERY ON ROADSIDE. <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 /> --------- ------- - -- - - ------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location JACK TONE RP/DBA <br /> MANTECA,CA RP Address <br /> Cross Street HWY 120 <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> ———Date Abated I_J I n—1 <br /> C-) — Inspector ID#: g1 0ci <br /> -- ----- <br /> — -- ----------- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address <br /> Date: <br /> Complaint Status Code: -c-J_ <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Q0:1-_FIELD 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 />