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! syr Complaint Investigation Form Report#: 5104 <br /> CO]IIIPLA T ID: C00035223 Site Location: 940 S OLIVE AVE Account ID; <br /> Received by: EE0008987 SANGALANG <br /> Received Date: 7/18/2012 Print Date: 7!18!2012 9:07:56AM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 7118/2012 <br /> Program/ElementCode-11322-SUBSTANDARD HOUSING E <br /> Complainant: :ANON-CS#1200645 Nome Phone <br /> Address. <br /> Jr Work Phone <br /> Mai!Address <br /> t Nature of com Taint: <br /> TENT CITY IN REAR YARD.ELECTRICAL CORDS GOING TO TENTS AND SHED. BAD SMELL OF HUMAN WASTE <br /> i <br /> I Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bel of Supervisors/-City Council <br /> C-Counter F-Fax � <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> — ———— —— — — -------------------------- <br /> ——`�I-Intemet i Email S-Sheriff's Office <br /> — i <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/DBA <br /> STOCKTON,CA 95215 RP Address 404 MCCLOUD AVE <br /> Cross Street STOCKTON,CA 95204 <br /> Billing Address 404 MCCLOUD AVE <br /> Home Phone I <br /> Phone : Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 15726417 C f <br />€ ' Date Abated (- Inspector 1D#: ✓ w� <br />€ --- ----- — ------ ------- — --- _ _---_-4 ———— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 2-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 /> o6-E=HD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response 6 <br /> s <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found , <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED,See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104,rpt ` <br /> 1 <br />