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i <br /> p a Report#:5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C00015637 Site Location: 211 W SAN CARLOS WY Account 1D: ARD007687 <br /> Received by: EE0006519 DISA Received Date: 3/1412001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 3114101 <br /> i <br /> Program/Element Code: 1600-FOOD PROGRAM <br /> I. <br /> Complainant: <br /> <br /> <br /> Nature of complaint: � <br /> MAN BY THE NAME OF MR WOODS IS MAKING AND PACKAGING JERKY IN HIS APARTMENT.A TRUCK COMES BY WITH THE NAME OF <br /> MR.PERKY ON THE SIDE AND GIVES HIM LABELS AND BAGS,THEN TAKES FINISHED JERKY WITH HIM. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral 8-Bd of Supervisors/City Council 1, E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001428-MEADOWGREEN APARTMENTS Owner: OW0000984-OCCIDENTAL CAPITAL_HOLDINGS <br /> RP/DBA: <br /> Site Location: 211 W SAN CARLOS WY <br /> RP Address: 2454 SAN CARLOS , <br /> STOCKTON,CA 95207 <br /> CASTRO VALLEY,CA 94546 <br /> Mailing Address: 180 GOLF CLUB RD#112 <br /> PLEASANT HILL,CA 94523 Billing Address:: 180 GOLF CLUB RD <br /> PLEASANT HILL,CA 94523 <br /> Phone: 1st: 209-473-2421 Phone: I' <br /> Wk: 510-885-1897 <br /> g , <br /> District Location Code 01 -STOCKTON <br /> APN i <br /> Date Abated 3 LL3 <br /> Inspector <br /> Send Referral to: <br /> Referral Address: i <br /> i <br /> Referral Letter Sant by: <br /> Date: <br /> Complaint Status Code: <br /> 94,- Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 0 Office Abated 15-Active Housing Case- New Complaint See Active Case# <br /> 3-NAI Sent ii 16- Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17- 15-Day Letter Sent <br /> 05-Enf orcement Acti on 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/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne 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-Ent orcement 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 /> i <br /> 0104.rpt <br />