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• 1 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00049897 Site Location: 3978 S HWY 99 E FRONTAGE RD Account ID: <br /> Received by: EE0009819 BENIAMINE Received Date: 6/3/2019 Print Date: 6/4/2019 2:10:421IN1 <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 6/4/2019 <br /> Program/Element Code 4400--SDLID_WAST_F_P-hZGG M <br /> <br /> Work Phone <br /> E-Mail Address <br /> Nature of com laint: <br /> WOODEN BIN FILLED WITH TRASH WAS DROPPED OFF IN FRONT OF THIS BUSINESS, OCCUPIED RECREATIONAL VEHICLE,DUMPSTER <br /> FULL OF GARBAGE,STRONG ORDER ON PROPERTY. CS-1900874 -- <br /> Complaint Mode: E 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-Sheriff's Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 3978 S 1-1WY 99 FRONTAGE RD RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street CLARK <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:SANDRA YACOUB <br /> DBA <br /> Owner address <br /> Billing Address 4960 S GILBERT RD SUITE 1-147 <br /> CI IANDLER,AZ 85249 <br /> Home Phone <br /> Work Phone <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 99-UNINCORPORATED AREA <br /> APN 17917103 <br /> Date Abated 6 � Inspector ID#: �O/A , ✓���, /I — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code. <br /> O <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-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 /> OS 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 ainl Reviewed by: ate: I j 1 l pate y: <br /> 1A D?J <br /> 5104,rpt / 6 <br />