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TComplaint Investigation Form Report#: 5104 <br /> COAr�. LAINT ID: C00049552 Site Location: 3591 QUAIL LAKES 10 DR Account ID: <br /> Received by: EE0002089 SOOD Received Date: 3/29/2019 Print Date: 3/29/2019 2:54:54PM <br /> Assigned To: EE0002089 SOOD Assigned Date: 3/29/2019 <br /> Program/Element Code 1253-Lead Abatement Case <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> ELEVATED BLOOD LEAD LEVEL,STATE ID#7599399 <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-Internet/Email S-Sheriffs Office <br /> -- - -- ---------------------------------------- -- -- — <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 3591 QUAIL LAKES DR#10 RP mailing address <br /> STOCKTON,CA 95207 <br /> Cross Street GRIZZLY HOLLOW <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:JHAMAT,JASWINDER SINGH <br /> DBA <br /> Owner address <br /> Billing Address 3591 QUAIL LAKES DR#10 <br /> STOCKTON,CA 95207 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11231005 <br /> Date Abated g I�I I I Inspector ID#: _! chop l l p <br /> Send Referral to l Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 50 <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only e)LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1 -Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed y: ate: pate y: <br /> y-as-�qY�' 134M 14�4 <br /> 5104.rpt <br />