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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00017667 Site Location: 111 S STOCKTON ST account ID. <br /> Received by: EE0002089 SOOD Received Date: <br /> Assigned To: EE0002089 SOOD Assigned Date: No Date <br /> Program/Element Code; 1200-LEAD PROGRAM <br /> Complainant: <br /> . <br /> Nature of complaint. <br /> EBL CHILD. <br /> Complaint Mode A Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Cade Enforcement <br /> M-Mail/Correspondence O-Othor EH Unit C-Counter P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner: MOHAMMAD&BIBBI JAMEEL <br /> RP/DBA: <br /> Site Location: 111 S STOCKTON RP Address., 6602 TABLE TOP CT <br /> LODI,CA <br /> STOCKTON,CA 95210 <br /> Billing Address:: 6602 TABLE TOP CT <br /> Phone: Phone: Hm: <br /> Wk: Number Not Specified <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN pµ3-06 2-07 <br /> Date Abated 07-09-02- <br /> Inspector <br /> 7-a&~02Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by. <br /> Date: <br /> Complaint Status Code: 5Q <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 450 Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid I 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-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 /> 51o4,rpt <br />