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r ,/':� .-1 Complaint Investigation Form Report* 5104 <br /> COMPLAINT.ID. 'C 0024535 Site Location: 1121 S ANNABELLE LN Account ID: <br /> 4, _Received by: EE0000060 RUIZ Received Date: 5/22/2006 Print Date: 5/22/2006 4:39:00PM <br /> Assigned To: EE0007379 BOERTIEN Assigned Date: 5/22/2006 <br /> Program/Element Code.-4200-LIQUID WASTE PROGRAM <br /> Complainant: :EHD Nome Phone SCANNED <br /> Address Work Phone <br /> l: Nature of complaint: <br /> ALLEGED OPEN SEPTIC TANK SYSTEM IN FIELD SOUTH OF BUNGALOWS, <br /> I Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors!City Council C Counter <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> k ----------------------------------------------- <br /> PROPERTY <br /> ______ -------------- ------------ ----- ---- --PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property name: Responsible Party or Property Owner:WAYNE R OSBORN <br /> Site Location 1121 S ANNABELLE RP/DBA : <br /> STOCKTON,CA RP Address PO BOX 55046 <br /> STOCKTON,CA 95205 <br /> Billing Address PO BOX 55046 <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-MARENCO,DARIO Location Cade 99-UNINCORPORATED AREA <br /> APN 17320012 <br /> Date Abated Zp o� Inspector. 7- cj <br /> ------------------------------------------------ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> � NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> -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 -' <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> r <br /> Complaint <br /> Attached But?.Ot <br /> Scanned. <br /> 5104.rpg} { <br /> 11� tea . <br />