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Complaint Investigation Form <br /> Report#;5104 <br /> COMPLAIN ID: C00036001 Site Location: 4055 N WILSON WAY Account ID. <br /> Received by: EE0003600 BLACKWELL Received Dato: eta. - -c;I-qo�, <br /> Print Date: 2/11/2013 9:52:21AM <br /> Assigned to: EE0000753 NG Assigned Date: 2/11!2013 <br /> Program/Element <br /> <br /> <br /> <br /> <br /> Nature ofcomplaint: <br /> g;(1 G5� <br /> THIS COMPLAINT WAS FOUND IN A HW FILE AND ALLEGES"R&R REPAIRS IS FACILITY'LICENCE INSPECTION REVEALED BUSINESS HAS <br /> NO EPA#AND IS IMPROPERLY STORING WASTE OIL"ORIGINAL COMPLAINT#IS 92-1223(GIVING ITAND ENVISION COMPLAINT#FOR FILE <br /> REVIEW#72026) <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:ROGER JOHNSON <br /> Site Location 4055 N WILSON RP/DBA <br /> STOCKTON,CA 95205 RP Address <br /> Cross Street <br /> Billing Address . <br /> Home Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN UNKNOWN <br /> Date Abated ! 11 G� Inspector ID <br /> �—tom r <br /> Send Referral to Referral Letter Sent by — <br /> Referral Address Date: <br /> Complaint Status Code: €� <br /> Circle appropriate Status Cade <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02 FFICE 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 File <br /> 06-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 SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104 rpt <br />