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.. <br /> ,y Complaint Investigation Form Report#: 5104 <br /> COMPLAIN ID: C00035683 Site Location: 4304 E SECTION AVE Account ID: <br /> Receivedby: EE0006219 DUNCAN Received Date: 11/14/2012 Print Date: 11/14/2012 3:30705PM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 11/14/2012 <br /> Proaram/Eem nt Code-1319-UNSECURED PROPERTY <br /> Complainant: :SHERIFF OFFICE-BILL HUGHES Nome Phone <br /> Address Work Phone <br /> r <br /> -Mail Address <br /> Nature of complaint: <br /> UNSECURED HOUSE <br /> "CST FOR WEEK OF 11/19/12 <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City tY Council C-Counter F-Fax <br /> p E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------------------------------------- -I-Internet 1 Email S-Sheriff's Office <br /> -- -- --------- --`--- _ <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> i <br /> Property Name: Responsible Party or Property Owner:FERNANDO M BARREItA V <br /> Site Location 4304 E SECTION RP/DBA <br /> STOCKTON,CA 95215 RPAddress 4304 E SECTION AVE <br /> Cross Street SINCLAIR STOCKTON,CA 95215 <br /> Billing Address 4304 E SECTION AVE <br /> Home Phone <br /> Phone : Work Phone k <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 17318207 <br /> Date Abated `i2[10112- V�o <br /> Inspector ID#: 101 <br /> ---- -aI to---- -- ---- ----- Referral --- ———— _---- <br /> Send ReferrLetter_ Sent 1�b by <br /> Referral Address Date: <br /> Complaint Stags Code: ih <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 /> 0a-UNABLE TO VERIFY <br /> 10= OSTED SUBSTANDARDIUNSECURED-See Housing File <br /> Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> f� <br /> II <br /> I <br /> E <br /> 5104rpt <br />