Laserfiche WebLink
t:� Complaint Investigation FormReport#;51o4 <br /> AINT ID C00035694 Site Location: 16888 MCKINLEY AVE Account ID: : <br /> Received by: EE0009488 WONG Received Date: 11/19/2012 Print Date: !1/19/2012 1:26:57PM <br /> i <br /> Assigned To: E0009488 WONG Assigned Date: 11/19/2012 <br /> Pro ram/Elem nt Code.2546-Release Response Day <br /> Complainant: :JEFF WONG Nome Phone <br /> Address <br /> c <br /> Work Phone <br /> i <br /> -Mai!Address <br /> Nature of cornTaint: <br /> 2 GALLONS OF ANTI-FREEZE WAS RELEASED AT THE REFERENCED PROPERTY DRIVE WAY <br /> Complaint Mode: O Complaint 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 1 Email S-Sheriff's Office <br /> ———— ———— ———— ———————— _____ _ ___ _ <br /> PROPERTY INFORMATION — PROPERTY OWNER INFORMATION T <br /> Property Name. Responsible Party or Property Owner:SUPER STORE INDUSTRIES <br /> Site Location 16$88 MCKINLEY RP/DBA <br /> LATHROP,CA 95330 RP Address 2800 W MARCH LN STE 210 <br /> j Cross Street STOCKTON,CA <br /> f Billing Address 2800 W MARCH LN STE 210 <br /> Home Phone :209-815-2985 <br /> Phone <br /> Work Phone <br /> District 003-$ESTOLARIDES Location Code 07-LATHROP <br /> APN 19816,24 <br /> 24 <br /> !, ► <br /> Date Abated ( ( /701z Inspector ID#: !/�J D IJ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> I <br /> Complaint Status Code: 06 <br /> Circle appropriate Status Code <br /> k' 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 <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record Fite <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD 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 /> iF 5104.rpt <br />