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µ <br /> Complaint Investigation Form Report* 5104 <br /> Account ID: <br /> r; COMPLAINT 10: C00036862 Site Location: WEST LN <br /> Received by: EE0008709 DE LA ROSA <br /> Received Date: 8!2212013 Print Date: 8/26/2013 10:13:45AM <br /> Assigned To: EE0008709 DE LA ROSA Assigned Date: 8/2212013 <br /> I .y <br />�.;. Pro gram/Elemen Code:2546-Release Response Day <br /> Nome Phone <br /> Complainant: :S,1C CHANNEL MAIN? <br /> Work Phone <br /> Address :1810 E HAZELTON AVE <br /> E-Mail Address <br /> STOCKTON,CA 95205 <br /> Nature of com laiftt: <br /> FIRE BURNED HOMELESS ENCAMPMENTAND CHANNEL MAINT WANTED TO KNOW IF SAFE TO SEND CREW IN WATER FOR CLEAN UP <br /> Gomplainf Mode: A E�!= <br /> A-Agency Referral B-Bd of Supervisors l City Council C-CounterF Fax <br /> E-Code Enforcement MMail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 EmailS-Sheriffs Office -- --PROPERTY INFORMATION — —T— PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:UNKNOWN <br /> Site Location WEST RP/DBA ' <br /> 1 <br /> STOCKTON,CA 95210 RP Address <br /> I Cross Street MOSHER SLOUGH <br /> Billing Address <br /> Nome Phone <br /> ' Phone Work Phone <br /> District 003-BESTOLARIDES Location Code 01-STOCKTON <br /> APN ROW �/� �(� f 3 <br /> Date Abated 1 Inspector ID <br /> I <br /> —— ———— ————— --———— —————— —————— <br /> Send Referral to Referral Letter Sent by <br /> j Referral Address Date. <br /> Complaint Status Code:0 <br /> 1 <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> i 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORN E ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> Oa-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-Na Aboiement 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 /> p <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 118-UNABLE TO VERIFY CL-Case Closed <br /> I <br /> 10-'POSTED SUBSTANDARDIUNSECU RED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br /> t <br />