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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00040441 Site Location: JACK TONE RD AccountlD. . <br /> Received by: EE0000006 SAEED Received Date: 9/29/2015 Pnnt Date: 9/29/2015 1241:06PM <br /> Assigned To: EE0000006 SAEED Assigned Date: 9/29/2015 <br /> ProaramrE/ement Code;2548-Non-Release Response-HazCatIChemical Pickup <br /> Complainant: :PUBLIC WORKS Home Phone t 2,-k) L\ <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> BOAT FULL OF TRASH AND MISCELLANEOUS ITEMS. <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 <br /> Site Location JACK TONE RPIDBA <br /> STOCKTON,CA 9 j[t S RP Address <br /> Cross Street COPPEROPOLIS RD <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> Disbiot : Location Code 99-UNINCORPORATED AREA <br /> APN ROW <br /> Date Abated \ •Lq \S Inspector ID#: a SG Fes.. <br /> ------------------------------------- ------- - <br /> Send <br /> ------------------ <br /> Send Referral to Referral Letter Sent by <br /> Re/emal Address Date: <br /> Complaint Status Coder <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 Regired-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 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 /> ompaint Kevieved by; ,q ,( ate'. ,� I� Updated y; 77K--/ <br /> /�/2_ <br /> 5104ryt r• t �V �P <br />