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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000032592 Site Location: 1172 N MAIN ST AccountlD: <br /> Received by: EE0005642 HENRY Received Date: 9/7/2010 Print Date: 9!712010 1:59:45PM <br /> Assigned To: EE0005642 HENRY Assigned Date: 9/7/2010 <br /> Pro ramlEfement Code:2547-GENERATOR RESPONSE STANDBY <br /> Complainant. :R MAYS,MANTECA FIRE DEPT Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint., <br /> FREON RELEASE,APPROXIMATELY 300-500 LBS. <br /> Complaint Mode: A LComplaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Internet!Email S-Sheriffs Office <br /> -----------------------------------=------------- <br /> PROPERTY <br /> ----- ------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 1172 N MAIN RP/DBA S-MART 4386 <br /> MANTECA,CA 95336 RP Address 1172 N MAIN ST <br /> Cross Street MAIN MANTECA,CA 95336 <br /> Billing Address 1172 N MAIN ST <br /> Nome Phone <br /> Phone ; Work Phone <br /> District 003-BESTOLARIDES Location Code 04-MANTECA <br /> APN 2182 10 10 <br /> Date Abated q1-0 Inspector.• <br /> --- ----- <br /> ----- ---- ----- ----- — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01FIELQ ABATEQ 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement RegiredSee Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDlUNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> /4 m' <br />