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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00019410 Site Location: 2629 E WATERLOO RD Account 10: <br /> Received by.- EE0003361 FLOHRSCHUTZ Received Date: 8/4/2003 r Print Date: 8/4/2003 1:26:49PM <br /> Assigned To: EE0001522 VAN BUREN Assigned Date: 8/5/2003 f f <br /> Proram/EtementCode:1300-HOUSING ABATEMENT PROGRAM <br /> Complainant: :ANGEL CHEVETNOY Nome Phone d•� <br /> Address Work Phone "2(19-316-33 <br /> Nature of complaint. <br /> STOVE DOES NOT WORK,MISSING HOOD,HAVE TERMITES,HAVE MOLD IN BEDROOMS AND BATHROOMS. NEIGHBOR HAS BROKEN <br /> WINDOW(OVER 1-112 YEARS). PLEASE CALL COMPLAINANT BEFORE VISIT. <br /> Complaint Mode: P ComplaintMode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> ———————— ———————------------------------------- <br /> PROPERTY <br /> ._ ---------------------------PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner ; <br /> Site Location 2629 E WATERLOO RP/DBA <br /> STOCKTON,CA RPAddress <br /> Billing Address i <br /> Nome Phone <br /> Phone : Work Phone : <br /> District 001 -GUTIERREZ,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Date Abated ] Inspector. <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code.- <br /> Circle <br /> ode:Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PREMISE FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODSORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) ' <br /> I <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> i <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 5104.rpt <br />