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Complaint Investigation Form Report#:5104 <br /> COMPLAIN ID: C00035561 Site Location: 2629 F WATERLOO RD AccountlD: <br /> F Receiv by: EE0007380 SHIH Received Date: 10/8/2012 Print Date: 10/812012 3:53:09PM <br /> } <br /> Assign To: EE0005944 ESCOTTO Assigned Date: 10/8/2012 <br /> i <br /> Program/Element CodeA200-LIQUID WASTE PROGRAM <br /> Complainant: : RON SYMPSON Nome Phone <br /> k ' <br /> Address - Work Phone <br /> -Mail Address <br /> Nature of complaint: J <br /> RAW SEWAGE UNDER SPACE#6 <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> 1-Internet l Email S-Sheriff's Office <br /> --- --------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:RIO INVESTMENTS <br />! Site Location 2629 E WATERLOO RP/DBA <br /> STOCKTON,CA 95205 RPAddress 3108 CHERRYLAND AVE <br /> Cross Street STOCKTON,CA 95115 <br /> Billing Address 3108 CHERRYLAND AVE k <br /> Nome Phone <br /> GPhone ; Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> f APN 11921038 <br /> Date Abated Inspector ID#: <br /> ---------------_--- - <br />! Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br />! Circle appropriate Status Code t <br /> 12-DA Referred Complaint-See Violation Tracking Form fl <br /> V01 FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 2-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 Regired-See Program Record Fife <br />' 08-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 <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> f <br /> r <br /> 4 F <br /> k <br /> 5104.rpt <br />