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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039411 Site Location: 4118 E SECTION Account ID: <br /> Received by: EE0006219 DUNCAN Received Date. 3/23/2015 Print Date: 3/23/2015 2:16:06PM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 3/23/2015 <br /> Program/Element Code:1322-SUBSTANDARD HOUSING <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COCKROACHES, LOOSE WIRES, HOLES IN SHEETROCK. <br /> Complaint Mode: P 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-Internet/Email S-Sheriffs Office <br /> - - ------------------ ------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 4118 E SECTION RP/DBA NISHA HOMES IRA LLC <br /> STOCKTON,CA 95215 RP Address 1160 SNYDER LN <br /> Cross Street ORO WALNUT CREEK,CA 94598 <br /> Billing Address 1160 SNYDER LN <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code <br /> APN 17318102 <br /> Date Abated a/ (J Inspector ID#: � <br /> _4LO <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <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 Reqired-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 <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 Multiple Complaints-SEE ACTIVE CASE# ('6870.�C13 3 <br /> 2-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rot <br />