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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038384 Site Location: �1��i=-- Account ID. <br /> Received by: EE0005944 ESCOTTO Received Date: 8/19/2014 Print Date: 8/19/2014 4:57A6PM <br /> Assigned To: EE0005944 ESCOTTO Assigned Date: 8/19/2014 <br /> Program/Element Co0oA200-LIQUID WASTE PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> SURFACING SEWAGE IN BACKYARD. (C)GAVE ADDRESS OF 1138 S ORO. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Coda Enforcement M-Mall/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 Email S-Sheriffs Office <br /> ------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:WAYNE R OSBORG <br /> Site Location 1121 S ANNABELLE RPIDBA <br /> STOCKTON,CA 95215 RP Address PO BOX 55046 <br /> .Cross Street ORO STOCKTON,CA 95205 <br /> Billing Address PO BOX 55046 <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 17320012 <br /> Date Abated 10 _ inspector 1D#: L� , <br /> Send Referral to, Referral Letter Sent by <br /> Referral Address Data: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement RequNed <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File ` <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> s <br /> i <br /> 5104 rpt <br />