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e Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050739 Site Location: 1141 S ANNABELLE LN Account ID: <br /> Received by: EE0000753 NG Received Date: 12/11/1991 Print Date: 10/17/2019 9:17:17AM <br /> Assigned To: EE0000753 NG Assigned Date: 10/17/2019 <br /> Program/Element Code 2400-HOTEL/MOTEL PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> SUBSTANDARD HOUSING, HOLES IN WALLS, RATS HAVE CHEWED THROUGH. ROACHES AND BLACK WIDOWS ALL OVER. <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 /> 1-Internet/Email S-Sheriffs Office <br /> ----------- ----- - -- ---- -- ------------- ------ ------ <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 1141 S ANNABELLE LN RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street MAIN <br /> Mailing address Recontact <br /> RP contact phone <br /> Phone <br /> Property Owner:MARGE HELLWIG <br /> DBA <br /> Owner address <br /> Billing Address PO BOX 1872 <br /> STOCKTON,CA 95215 <br /> Home Phone 209-944-9901 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN NEAR 17320012 <br /> Date Abated ('� (�1 Inspector ID#: ��fir; <br /> -------------------- ----- ------------------------ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 'l <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 -UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File N-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 by: - ate: Updated by: ate: <br /> L <br /> 5104 rpt <br />