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M <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000033572 Site Location: 1121 S ORO AVE AccountlD: <br /> Received by: EE0002424 VELOSO-CACAPIT Received Date: 5/13/2011 Print Date: 5/13/2011 9:19:40AM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 5/13/2011 <br /> Program/Etement Code 1315-OCCUPIED RV <br /> Complainant: :GARDEN ACRES COMMUNITY CTR Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> OCCUPIED MOTOR HOME AT THIS CHURCH WITH ELECTRICAL CONNECTION: NOT SURE IF THERE IS SEWER OR WATER CONNECTIONS. <br /> Complaint Mode. A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:UNITED PENTECOSTAL CHURCH <br /> Site Location 1121 S ORO RP/DBA . <br /> STOCKTON,CA 95215 RP Address PO BOX 55125 <br /> Cross Street MAIN STOCKTON,CA 95215 <br /> Billing Address PO BOX 55125 <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 01-STOCKTON <br /> APN : 157 - 275 - 04 <br /> Date Abated CO— 3 y t Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ©If <br /> Circle appropriate Status Code <br /> 1- IELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <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 SUBSTANDARDIUNSECURED-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 /> 5104.rpt <br />