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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039192 Site Location: JACK TONE RD Account ID: <br /> Received by: EE0008709 DE LA ROSA Received Date.—z��Z_-5—zo 15 Print Date: 2/6/2015 9:05:06AM <br /> Assigned To: EE0008709 DE LA ROSA Assigned Date: ^'6-_� 2,-5—Zo 15 <br /> Prooram/Element Code.2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: LEA NOLEN-SJC PUBLIC WORKS Home Phone <br /> Address : 1810 E HAZELTON ST Work Phone <br /> STOCKTON,CA 95205 E-Mail Address <br /> Nature of complaint: <br /> 3 CASES OF BUTANE CANISTERS ABANDONED 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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location JACK 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 Location Code <br /> APN ROW <br /> 9709 <br /> j <br /> Date Abated 2_ r'� Inspector/D <br /> ���777#: /Ovf�] <br /> Send Referral to c/v Referral Lel tter Sent by <br /> Referral Address Date. <br /> Complaint Status Code: C) <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 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 />