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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00033407 Site Location: 3 S PACIFIC AVE Account ID: <br /> Received by: EE0008317 VON FLUE Received Date: 4/7/2011 Print Date: 4/7/2011 2;56:28PM <br /> Assigned To: EED008317 VONFLUE LUE Assisned date: 4/7/2011 <br /> ProaramlElement Code:2546-GENERATOR RESPONSE/CLEAN UP <br /> ComPlainant: : <br /> <br /> <br /> <br /> Nature of com taint: <br /> A CONSTRUCTION CREW HIT A ONE-INCH GAS LINE. 'SPILL REPORT#11-2218. <br /> Complaint Mode: F Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail t 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 AA <br /> Owner <br /> Site Location 3 S PACIFIC RP/DBA NA Nb -rm(L 1A <br /> LODI,CA 95242 RP Address <br /> <br /> <br /> <br /> <br /> <br /> - <br /> APN 03511012 <br /> i <br /> Date AbatedLf I V I r Inspector. <br /> I. --------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: /�r <br /> Circle appropriate Status Code <br /> 0 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required p <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> I <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 7 <br /> 5701 k <br />