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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00043337 Site Location: 4039 N WILMARTH RD AccountlD: <br /> Rsoeivedby: EE0005642 HENRY Received Date: 4/22/2017 Print Date: 4/24/2017 10:16:15AM <br /> Assigned To: EE0008987 GAN6ALANG Assigned Date: 4/24/2017 <br /> ProgromlElement Code.1322-SUBSTANDARD HOUSING <br /> Complainant: :WATERLOO MORADA FIRE Home Phone <br /> Address - Work Phone <br /> t:-MailAddress <br /> Nature ofcomplaint: <br /> SINK HOLE UNDER DETACHED GARAGE 8 FT X 8 FT X 4 FOOT.GARAGE OCCUPIED. <br /> Complaint Mode: A 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 /> ------------------------------------------------ - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner.LEORIDES PENA <br /> Site Location 4039 N WILMARTH RP/DBA <br /> STOCKTON,CA 95215 RPAddreas 4039 N WILMARTH RD <br /> Cross Street WATERLOO STOCKTON,CA 95215 <br /> Billing Address 4039 N WILMARTH RD <br /> Home Phone :209-640-6420 <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08715017 <br /> Date Abated s 1 t b L j-- Inspector ID#: I)IUA -CA&'- <br /> ------------------------------------------------- <br /> Send <br /> ^Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 10 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record Fite <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> POSTED SUBSTANDARD/UNSECURED-See Housing File M(7 S4 1959$' RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by: ©t,1.iE(�'--� ate:s'II17 Ud <br /> pate aee_ <br /> _ 7 <br /> 5104,,1 <br />