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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000035527 Site Location: 940 S OLIVE AVE Account ID: <br /> Received by: EE0002424 VELOSO-CACAPIT Received Date: 10/1/2012 Print Date: 10/1/2012 121:06PM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 10/1/2012 <br /> Program/Element C01e:1322-SUBSTANDARD HOUSING <br /> Complainant: :BILL HUGHES-SHERIFF OFFICE Nome Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> EN <br /> ELECTRICITY IN SFD <br /> O SAFETY ISSUES ACCORDING TO MR HUGHES <br /> Complaint Mode. A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors!City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> -Internet I Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner;ELSIE FERN VETTER TR <br /> Site Location 940 S OLIVE RP/DSA • <br /> STOCKTON,CA 95215 RP Address 404 MCCLOUD AVE <br /> Cross Street MAIN STOCKTON,CA 95204 <br /> Billing Address 404 MCCLOUD AVE <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 15726417 r <br /> / �"Dafe Abated /O <br /> — -- — --- — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Stags Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10- OSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# ,l 7" <br /> 51 04,rpt <br />