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Complaint Investigation Form Report#:5104 <br /> COMPLAI T ID: C00035106 Site Location: 1831 S STOCKTON ST Account 1D: : <br /> Received by: EE0009488 WONG Received Date: 6/18/2012 Print Date: 6/18/2012 9:29:55AM <br /> Assigned To: EE0009488 WONG Assigned Date: 6/1812012 <br /> 4 ram/Element Code0- <br /> �r Complainant: .CHUCK DOUROS Nome Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> 25 GALLONS OF POSSIBLY VEGETABLE OR COMPRESSOR OIL WAS RELEASED TO DIRT&GRAVEL AT THE REFERENCED PROPERTY.NO <br /> SURFACE WATER OR STORM DRAIN WAS AFFECTED.SOURCE OF RELEASED UNKNOWN. RAMOS <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter F-Fax J <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> I-Internet!Email S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:COTTAGE BAKERY <br /> Site Location 1831 S STOCKTON RP/DSA <br /> LORI,CA 95240 RP Address 800 MARKET ST STE 2900 <br /> Cross Street ST LOUIS,MO 63101 <br /> Billing Address 800 MARKET ST STE 2900 <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 02-LODI <br /> APN 06219027 J <br /> Date Abated o Z Inspector 1D#.- <br /> Send <br /> :Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File j. <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response C 7wr <br /> REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> ( r, <br /> 06808 UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> t� <br /> y/ <br /> 5104.rpt <br />