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Complaint Investigation Form <br /> fCOMPLAINT ID: C00035695 Site Location: 85 E LOUISE AVE Report#:5104 <br /> ` AccountlD: ; <br /> Received by: EE0000997 KNOLL <br /> i Assigned To: EE0000997 KNOLL Received Date: 11/19/2012 <br /> Assigned Date: 1,1/19/2012 Print Date: 11/19/2012 2:04:27PM <br /> Pro ram/Elem nt Code:2547-Release Response STANDBY <br /> Complainant: ;CHRIS WEBER <br /> Address Nome Phone <br /> Work Phone _ I <br /> Mall Address <br /> Nature of com laint: <br /> ' CUSTOMER DRIVE OFF CAUSED SPILL. HARLIN KNOLL RESPONDED AND VERIFIED CLEANUP. PRO 65 COMPLETED FOR RELEASE <br /> Complaint Mode: p Complaint Mode Codes A-A enc Referral <br /> g y B-Bd of Supervisors!City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit <br /> P-Phone 1 <br /> ___ _ ,_`_ 1-Internet/Email S-Sheriffs Office } <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: <br /> Responsible Party or Property Owner:ARCOBP#6080 <br /> i <br /> Site Location 85 E LOUISE RP/DBA <br /> LATHROP,CA 95330 RPAddress <br /> Cross Street 1-5 <br /> Billing Address <br /> Home Phone <br /> Phone <br /> Work Phone <br /> District 0037 BESTOLARIDES Location Code 07-LATHROP <br /> APN 19627010 <br /> Date Abated l� ��/Z Inspector 1D#: y <br /> - Sv'——���-——- - — y.—�j—` ——s `�-�—.—�--, --— <br /> Send Referral to Referral Leifer Sent 1 <br /> Referral Address (Jy+rL J G <br /> I <br /> Complaint Status Code: <br /> ff <br /> f 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 t <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-EH 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 SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints•SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> I <br /> Ik <br />,I 5104.rpt <br /> l <br />