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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00037009 Site Location: 12751 THORNTON RD AccountiD: <br /> Received by: EE0009817 LOPEZ Received Date: 9/17/2013 <br /> Print Date: 9/18/2013 11-08:01 AM <br /> Assigned To. EE0049817 LOPEZ Assigned Date: 9/18/2013 <br /> Proaram/Eloment Code'2$48-Non-Release Response-HaZCat/Che'micaI Pickup <br /> Complainant: :SHARNAY MOULTRIE Nome Phone <br /> : 209-333-6749 <br /> Address 12751 THORNTON RD Work Phone <br /> LODI,CA 95242 E-Mail Address <br /> Nature of complaint: <br /> REPORT CAME THRU PUBLIC WORKS OF 4 QTS WASTE OIL ABANDONED ON SIDE OF ROAD <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> _I-Intemet 1 Email _ `—— —`'— ——`—— —— <br /> S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property iVame: Responsible Party or Property Owner:UNKNOWN <br /> Site Location 12751 THORNTON RP/DBA <br /> LODI,CA 95242 RP Address <br /> Cross Street I-5 FRONTAGE <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 004-VOGEL,KEN <br /> Location Code 02_LODI <br /> APN ROW {/ <br /> Date Abated / 3 Inspector ID#: Zr <br /> Send Referral to h—————————— -----Reform!Letter Sent by ———`T— ————` — <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code r <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> DE��; <br /> D 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OBATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified 111 <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 <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed 1 <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> I� <br /> 1 . <br /> 5104 rpt <br />