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V) Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00041948 Site Location: 108 S OLIVE AVE Account ID : <br /> Received by: EE0008987 SANGALANG Received Date: 7/25/2016 Print Date: 7/26/2016 2:37:10PM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 7/25/2016 <br /> ProgramrElement Code:1315-OCCUPIED RV <br /> Complainant: :CDD-RICK M Home Phone <br /> Address Work Phone <br /> ,5101-KIUNCA 95207 <br /> -Mail Atltlress <br /> Nature of complaint: <br /> TWO OCCUPIED RVS. <br /> Complaint Mode: E Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemel/Email S-Shenfrs Once <br /> ._ — ——— — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner: RONALD YETTER <br /> Site Location 108 S OLIVE RPiDBA <br /> STOCKTON,CA 95215 RP Address 1176 ROSEMARIE LN#128 <br /> Cross Street WASHINGTON STOCKTON,CA 95207 <br /> Billing Address 1176 ROSEMARIE LN It 128 <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15733116 <br /> Date Abated 7 /`Z q/"(' Inspector ID#. J" <br /> ————— —__—-- _—— — — — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O,r-- <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Referred to Other Agency <br /> �nable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by <br /> (UUIJEt ate: lb Updated y: ate: <br /> 5104 rpt <br />