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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00040669 Site Location: 108 S OLIVE AVE Account ID. <br /> Received by: EE0000028 ALI Received Date: 11/10/2015 Print Date: 11110/2015 '3:36:43PM <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 11/10/2015 <br /> ProaramiElement COd,:1315-OCCUPIED RV <br /> Complainant: ;MARCEL MARIN-CODE ENFORCEMENT Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> OCCUPIED RV CONNECTED TO EXTENSION CORD FROM 38 S OLIVE. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counler F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Office <br /> ----------------------------------- <br /> PROPERTY <br /> ----------- - ------------ --------PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RONALD YETTER <br /> Site Location 108 S OLIVE RP/DBA ; ;. <br /> STOCKTON,CA 95215 RP Address 1176 ROSEMARIE LN#128 <br /> Cross Street WASHINGTON STOCKTON,CA 95207 <br /> Billing Address 1176 ROSEMARIE LN 4129 <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15733116 <br /> Date Abated I t it 2-r 15- Inspector ID#: O u V�I� <br /> Send Referral to i Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: l f <br /> 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 <br /> 03-NAI SENT 50-LEAD Assessment'Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <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 MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 1 - OSTED SUBSTANDARDIUNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11= hiple Complaints-SEE ACTIVE CASE# L'000."41Cto <br /> DA Referred Complaint-See Violation Tracking Form <br /> omp aint Reviewed by: Date: , t Z is Updated y: ate: <br /> 5104.rpt <br /> I <br />