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t „ .� Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID C00023831 Site Location: 2395 PAcr+n nCon A count 1D: <br /> Received by: EE0000060 RUIZ Received Date: 12/30/2005 Print Date: 1/3/2006 3:48:36PM <br /> Assigned To: EE0000060 RUIZ Assigned Date: 12/30/2005 S(w'J""INNED <br /> Program/Element Code:4400-SOLID WASTE PROGRAM <br /> Complainant: :CHP Nome Phone <br /> Address Work Phone <br /> Nature of complaint., <br /> F75AS AN ABUNDANCE OF ACCUMULATED TRASH,APPLIANCES,TIRES,ABANDONED VEHICLES, ETC <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter <br /> —— <br /> -----------E — Enforcement M-Mail!Correspondence O Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:DOROTHY HALEY J-ru5)-e� <br /> Site Location 2395+A1C7ME=T. RP/DBA : <br /> TRACY,CA Q 5 3 Q it RP Address 1311 MADISON AVE <br /> TRACY,CA 95304 <br /> Billing Address 1311 MADISON AVE <br /> Nome Phone ; <br /> Phone Work Phone <br /> District : 00 Location Code <br /> APN <br /> Date Abated I A)s CXo —— Inspector — <br /> Send Referral to ; t�Q Referral Letter Sent by Z <br /> Referral Address u[ .5.5c)f C 14 1-a cy fid Date' f CJS (o <br /> To-et.C 3`7& <br /> Complaint Status Code: n 7 <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint history <br /> Attached But Not <br /> Scanned <br /> co lei <br /> 5104,rpt <br />