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Complaint Investigation Form <br />Report #: 5104 <br />COMPLAINT ID: C00051602 <br />Received by: EE0000988 FOLEY <br />Assigned To: EE0000753 NG <br />Site Location: 7707 S AUSTIN RD <br />Received Date: 2/10/2020 <br />Assigned Date: 2/10/2020 <br />Account ID: : <br />Print Date: 2/10/2020 4:31 :45PM <br />Program/Element Code 1400 - INSTITUTIONS PROGRAM <br />Complainant: <br />Address <br /> <br /> <br /> <br />Home Phone <br />Work Phone <br />E-Mail Address <br /> <br />Nature of complaint: <br />DIRTY VENTILATION SYSTEM IN BUILDING AT CALIFORNIA HEALTH CARE FACILITY. PARTICLES OF ASBESTOS COME OUT AND AFFECT <br />COMPLAINANTS EYES. <br />Complaint Mode: M Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriffs Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br /> <br />RESPONSIBLE PARTY INFORMATION <br /> <br />Property Name: <br />Site Location <br /> <br />RP DBA <br /> <br />7707 S AUSTIN RD <br />STOCKTON, CA 95215 <br />RP mailing address <br /> <br />Cross Street <br />Mailing address <br /> <br />RP contact <br />RP contact phone <br /> <br />Phone <br /> <br />Property Owner <br />DBA <br />Owner address <br />Billing Address <br />Home Phone <br />Work Phone <br />District 001 - VILLAPUDUA, MIGUEL <br /> Location Code 99- UNINCORPORATED AREA <br />APN ARCH <br />Date Abated Inspector ID #: 1Q6-1 <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date' <br /> <br />Complaint Status Code: 0 -1 <br />Circle appropriate Status Code <br />01 - Field Response-Violations Cited and Corrected <br />02 - Office Response Only <br />() <br />Violations Cited - see Linked PROGRAM FAICILITY F LE <br />07 Referred to Other Agency CIA D.ar , bet (0.0-tchv„3 <br />08 - Unable to Verify Alleged Complaint <br />10- POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint-See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed-No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED-Old Complaint-No Original Found <br />MN - END Monitoring Status <br />PD - Permit Issued-Pending Well Installation <br />RS - Resolved - New Well Installed <br />Si-Tank pumped <br />S2 - Hooked up to public sewer <br />Updated by:a Date: seM omplaint Reviewed by: vvj <br /> <br />Date: <br />1 t • 31) <br />5104 rpt