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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00039069 Site Location: JACK TONE RD Account/D. <br /> Received by: EE0008709 DE LA ROSA Received Date: 1/9/2015 Print Date: 1/9/2015 11:20:50AM <br /> Assigned To EE0008709 DE LA ROSA Assigned Date: 1/9/2015 <br /> Program/Element Code 2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: i SJC DISPATCH Home Phone <br /> Address :7000 MICHAEL N CANLIS BLVD Work Phone <br /> FRENCH CAMP,CA 95231 E-Mail Address <br /> Nature of complaint: <br /> 3 CASES OF BUTANE CANISTERS ON ROAD SIDE. <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 ,TACK TONE RP/DBA <br /> STOCKTON,CA 95215 RP Address <br /> Cross Street HWY 4 <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN ROW <br /> Date Abated 1-g— 15 Inspector ID#: Rq O,7 <br /> --- ------------ - ---------- -- --------- -- ------ - - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date. <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> GEFIELD 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 />