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' Complaint Investigation Form _ Report#: 5104 <br /> COMPLAINT ID: C00025277 Site Location: 1111 NAVY DR AccountlD AR0017514 <br /> Received by: EE0008317 VON FLUE Received Date: 10/8/2006 Print Date: 10/9/2006 8:32:17AM <br /> Assigned To: EE0008317 VON FLUE Assigned Date: 10/9/2006 <br /> Program/Element Code:2547-GENERATOR RESPONSE STANDBY SCANNED <br /> : BOB NEWMAN-S F D Home Phone Sa <br /> t Address Work Phone ; - <br /> Nature of complaint. <br /> FACILITY HAS AN AMMONIA LEAK. <br /> Complaint Mode: A Complarrtt Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0010514-ZACKY FARMS,LLC Owner: OW0008514-ZACKY,ROBERT' <br /> Site Location 11 l 1 NAVY DR RP/DBA ZACKY FARMS LLC <br /> STOCKTON,CA 95206 RP Address PO BOX 12556 <br /> FRESNO,CA 93778 <br /> Mailing'Address: PO BOX 12556 Billing Address PO BOX 12556 <br /> FRESNO,CA 93778 FRESNO,CA 93778 <br /> Home Phone <br /> Phone :209-948-6440 Work Phone <br /> District 001 -GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APN 16326007 <br /> Date Abated inspector: P 3 1 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O jl <br /> Circle appropriate Status Code <br /> V <br /> IELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> FFICE ABATED 15-ACTIVE HOUSING CASE-NFW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT i <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> i <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 3 <br />{ Complaint NiStary <br /> Attached But Not <br /> Scanned <br /> 'i <br /> completed . <br /> 5104 rpt <br />