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�µ Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000018169 Site Location: 250 E ROTH RD + Account ID: i <br /> Received by: EE0003973 MCCLELLON Received Date: 10/16/2002 <br /> Assigned To: EE000831 N FLU Assigned Date: 10/16/2002 <br /> i <br /> Program/Element Code: 2500-EMERGENCY RESPONSE 'r <br /> <br /> Phone: <br /> Nature of complaint. I d <br /> PESTICED GAGS EXPLOADED IN TRASH(COMPACTOR } <br /> I� j. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> .jl <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner: MARK FERGUSON C <br /> RP/DBA: D I A m oJej Po+ <br /> Site Location: 250 E ROTH I i'RP Address: Z 5o <br /> MANTECA,CA it I _d kr-pp fes. -95331> <br /> i <br /> Billing Address% Ne+ <br /> Phone: Phone: Hm: 209-983.4900 <br /> Wk: Number Not Specified <br /> District Location Code <br /> APN <br /> Date Abated__41 I !I <br /> Inspector <br /> I <br /> Send Referral to: <br /> Referral Address: <br /> it <br /> �i <br /> Referral Letter Sent by: <br /> �3 <br /> i <br /> Date: <br /> Complaint Status Code: I <br /> t <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid f Unable To Verify I 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> �- <br /> I <br /> II <br /> k � <br /> sto4.r�1 �� I.I. <br />