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n <br /> � Complaint Investigation Form, „ /) I/ Report <br /> COMPLAINT ID: C00014393 Site Location 17A%Zj9C9F­RD 1'7 S�O ccount ID: <br /> Received by: EE0000451 SASSON Received Date: 7/3/2000 <br /> Assigned To: EE0000451 SASSON Assigned Date: 7/3/00 n n � <br /> Program/Element Code: 1327-STAFF ABATEMENT-DRUG LAB V� '`- <br /> Complainant: <br /> <br /> Nature of complaint: <br /> ABANDONED DRUG LAB WASTE <br /> Complaint Mode A Complaint Mode Codes A-Agency Referr: B-Bd of Supervisors/City C-Count( E-Code Enforcem( <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party: <br /> Site Location: 17497_KELSO DBA: <br /> TRACY,CA RP Address: ,M <br /> Billing Address: <br /> Phone: 2 4 ,q <br /> Phone: Hm: ZT T r- %( 3 7k <br /> Wk: <br /> District: 005-CABRAL.ROBERT Location Code: 03-TRACY <br /> APN: <br /> 1 " <br /> Date Abated., <br /> Inspector: <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: Date: <br /> Complaint Status Code: , <br /> 01 -Field Abated / 10-Substandard Property-See HOUSING ABATEMENT File e <br /> 02-Officgg, gated 15-Active Housing Case-New Complaint See Active Case# n <br /> 03-NAI'Be'nt 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17- 15-Day Letter Sent r\ <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) �... <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) r <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14- Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site `=w <br /> V` <br /> otna.-, <br />