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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039670 Site Location: 2629 E WATERLOO RD Account ID: <br /> Received by: EE0000025 SEDRA Received Date: 5/12/2015 Print Date: 5/12/2015 2:59:20PM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 5/12/2015 <br /> Prooram/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant. : MICHAEL Home Phone 209-328-6500 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> SEWAGE AND TOILET PAPER OVERFLOWING INTO YARD. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 2629 E WATERLOO RP/DBA RIO INVESTMENTS <br /> STOCKTON,CA 95205 RP Address 3108 CHERRYLAND AVE <br /> Cross Street SUNSET STOCKTON,CA 95215 <br /> Billing Address 3108 CHERRYLAND AVE <br /> Home Phone <br /> Phone : Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 11921038 <br /> Date Abated _6� ��_ �� Inspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: L) <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by ate: IF Updated <br /> y: ate: <br /> 5104 rpt <br />