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RL <br /> Cr-' r Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050205 Site Location: 1121 S ANNABELLE LN Account ID: <br /> Received by: EE0009819 BENIAMINE Received Date: 7/29/2019 Print Date: 7/29/2019 4:10:11 PM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 7/29/2019 <br /> Program/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> TRASH OVERFLOW,SEPTIC LEAKING OUT INTO GROUND, RATS. CS-1901253 -CST* <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 /> [-Internet/Email S-Sheriffs Office <br /> -------------------------------------------- --- - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 1121 S ANNABELLE LN RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street MAIN <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:3 STAR INVESTMENTS LLC <br /> DBA <br /> Owner address <br /> Billing Address PO BOX 8871 <br /> STOCKTON,CA 95208 <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 17320012 <br /> Date Abated 'l // Inspector ID#: Pj,�/f <br /> ------------------------------------ <br /> Send Referral to d Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File / 2 MN-EHD Monitoring Status <br /> (9-Multiple Complaints-SEEACTIVE CASE# r00bo/ 1J J 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 /> omparnt Reviewed by: Date: � Dot I <br /> 5104.rpt 1, <br />