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r <br /> Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: C00037878 Site Location: 4343 WILSON WAY Account ID <br /> Receivedby EE0006219 DUNCAN Received Date 4/21/2014 Print Date: 4/21/2014 11 13 59AM <br /> Assigned To: EE0006219-41119AM(,T-fI Vrt Assigned Date: 4/21/2014 <br /> Program/Element Code 1315-OCCUPIED RV <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> OCCUPIED DILAPIDATED RV,COVERED IN RUGS,YOUNG BOY LIVING THERE WITH A MAN. <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/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:BLYDEN LLP <br /> Site Location 4343 WILSON RP/DBA <br /> STOCKTON,CA 95205 RP Address 3265 W ASHLAN <br /> Cross Street MCALLEN FRESNO,CA 93722 <br /> Billing Address 3265 W ASHLAN <br /> Home Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 13202022 <br /> Date Abated ,( I ZZ' I Inspector ID#: <br /> —1 DtMd ftJllr <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: I <br /> ('ircle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> X0022-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-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 SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints -SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />