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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00044705 Site Location: 0 JACK TONE RD AccountlD: <br /> Receivedby: EE0000025 SEDRA Received Date: 10/9/2017 Print Date: 10/9/2017 9:51:50AM <br /> Assigned To: EE0004636 BACKUS Assigned Date: 10/9/2017 <br /> ProoramrElement Code2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: :DAVE-SAN JOAQUIN COUNTY PUBLIC WORKS Home Phone <br /> Address :1810 E HAZELTON AVE Work Phone <br /> STOCKTON,CA 95205 E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES ON THE SOUTHWEST CORNER IS A OPEN BUCKET OF USED OIL.UNKNOWN BUCKET SIZE,UNKNOWN AMOUNT, <br /> NOT LEAKING. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-B l of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement WMail/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 0 N JACK TONE RP/DBA <br /> LODI,CA 95240 RP Address <br /> Cross Street KETTLEMAN LN <br /> Billing Address <br /> Home Phone <br /> Phone : Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN NEAR 05126009 <br /> Date Abated I01IC912Qf 7 Inspector ID#: ONQovo) <br /> ————————————————————————————————————————————————— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:l� <br /> Circle appropriate Status Codee—�— <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Actibn Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 26-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompamt Reviewed byte: ate y: i ate: <br /> 5104 rpt <br />