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Complaint Investigation Form Report# 5104 <br /> COMR!_AINT ID: C00040570 Site Location: 940 S OLIVE AVE Account ID: <br /> Receivedby: EE0000321 OLIVEIRA Received Date: 10/26/2015 Pr1MDate: 10/26/201512:39:09PM <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 10/26/2015 <br /> P=ram/Element Code 1315-OCCUPIED RV <br /> Complainant: : CDD-CS-11501029 Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> OCCUPIED TRAILER IN THE DRIVEWAY,HOOKED UP TO ELECTRICAL. <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/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> - ---- ------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ELSIE FERN VETTER TR <br /> Site Location 940 S OLIVE RPrDBA <br /> STOCKTON,CA 95215 RP Address 404 MCCLOUD AVE <br /> Cross Street STOCKTON,CA 95204 <br /> Billing Address 404 MCCLOUD AVE <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 15726417 <br /> Date Abated aA ..A m^ A 14% !*+[110 Inspector ID#: OLl V V_I <br /> — — ——--———�—T'——— <br /> Send Referral to Referral Letter Sent by <br /> Rehanal Address Date: <br /> Complaint Status Code:'S <br /> Circle appropriate Status Code <br /> 15-A TIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE <br /> 01-FIELD ABATED -FOODBORNE ILLNESS-No Major Violations Identified I <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 /> 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 /> ompamt Reviewedy:�`L�Gt� A at '� rk pate y: ale: <br /> 5104.rpt �l <br />