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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID C00027262 Site Location: 640 N CENTER ST Account 10; <br /> Recaivedby; EE0000418 KITH Received Date: 11/712007 Print Date: 11/7/2007 12:24:27PM <br /> Assigned To: EE0000001 TURKATTE Assigned Date: 1 1 1712 0 0 7 <br /> Program/Element Code:2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: :DILLEN COLLIN,A P C D Home Phone <br /> Address Work Phone <br /> Nature of complaint. <br /> CONTRACTOR REMOVED ROOF CONTAINING 80% FRIABLE ASBESTOS AND DISPOSED OF AT A MUNICIPAL SOLID WASTE TRANSFER <br /> STATI ONILANDFI LL. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:CONG QUOC PHAM <br /> Site Location 640 N CENTER RPIDBA GOLDEN BAY HARDWOOD FLOORS&ROOF <br /> STOCKTON,CA RP Address 1382 40TH AVE <br /> SAN FRANCISCO,CA 94122 <br /> Billing Address 1382 40TH AVE ,L <br /> Nome Phone [a � e� 3 <br /> Phone Work Phone t" r <br /> District 001 -GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APN 13906001 <br /> Date Abated { 1 t� Inspector: ® O O 1 <br /> Send Referral to \ 1 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> e <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> i <br /> i <br /> t4 <br /> f <br /> 5104.rpt <br /> 4 <br />