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Q:.,� o-' Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000043465 Site Location: 4230 E HAMMER LN Amount/D* : <br /> Receivedby.' EE0000025 SEDRA Received Date: 511512017 Print Date: 5/15/2017 12:01:06PM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 5/15/2017 <br /> Prooram/E/ement C2&1 322-SUBSTANDARD HOUSING <br /> Complainant: :SGT.REYNOSO-SJC SHERIFF Home Phone <br /> Address Work Phone - <br /> -Mail Address <br /> Nature ofcomplaint: <br /> INCIDENT#99. HOLES IN CEILING AND SUB FLOOR.WHAT APPEARS TO BE FECAL MATTER ON THE WALL.ELECTRIC CORD RUNNING TO <br /> OCCUPIED TREE HOUSE.OCCUPIED OUT BUILDING. <br /> Complaint Mode: S 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 <br /> _—_---_---- _-- _—__--_-- _— -- -- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner.RICHARD FUKUSHIMA TR <br /> $0 location 4230 E HAMMER RP/DBA <br /> STOCKTON,CA 95212 RP Address 500 W HAWKEYE AVE 4107 <br /> Cross Sheet MORELAND TURLOCK,CA 95380 <br /> Billing Address 500W HAWKEYE AVE#107 <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE location Code 99-UNINCORPORATED AREA <br /> APN 13003007 ('� / <br /> Date Abated s �.J// ? InspectorlD#: c.J C4" 9✓L-a^-�� <br /> ------------- -------------- f� <br /> Send Referral to Referral Letter Sent by <br /> Referral Adtlress Date: <br /> Complaint Status Code: �s <br /> Circle appropriate Status Code r O O 0 <br /> -15 ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Volafions Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Reffened to Other Agency <br /> 08-Unable to Verify Alleged Complaint 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 /> omp amtevi by: ©I,L V l(,r--/^t Date: 7 Updated Y <br /> 5104.rpt <br />