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Complaint Investigation Form Report #:5104 <br />COMPLAINT ID: C00046373 Site Location: NEAR 1469 E HAMMER LN Account ID: : <br />Received by: EE0000040 JIMENEZ <br />Assigned To: EE0000753 NG <br />Proaram/Element Code:1600 - FOOD PROGRAM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />PHIS COMPLAINT WAS FOUND IN FILING CABINET AND ALLEGES "AT TACO BELL ON HAMMER LANE AND WEST LANE AT11:30 AM -TACOS <br />i BEAN BURRITOS -AT 2:30 PM HAD A SLUSHY AT 7 -ELEVEN STORE ON MARCH LANE NEXT TO MARIE CALENDARS -SAID DRINK TASTED <br />=UNNY -STOMACH CRAMPS BEGAN AT 2:45 PM - NOT SURE WHICH FOOD OR DRINK MADE HIM ILL." ORIGINAL CO # 911483 DATED <br />3/29/1991 (GIVING [TAN ENVISION COMPLAINT # TO HAVE IN DATABASE FOR FUTURE REFERENCE.) <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 / Email S -Sheriffs Office <br />PROPERTY INFORMATION <br />PROPERTY OWNER INFORMATION <br />Property Name: Responsible Party or Property Owner: TACO BELL / 7 ELEVEN <br />Site Location 1469 E HAMMER RP/DBA TACO BELL / 7 ELEVEN <br />STOCKTON, CA 95210 RPAddress 1469 E HAMMER LN <br />Cross Street WEST LN STOCKTON, CA 95210 <br />Billing Address 1469 E HAMMER LN <br />Phone <br />District 003 - BESTOLARIDES, STEVE <br />APN 08818030 <br />Home Phone <br />Work Phone <br />Location Code 01 - STOCKTON <br />Date Abated 9 w L7 — 01 1 Inspector ID #. 1 �1 <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code: C_,r1 L <br />Circle appropriate Status Code <br />01 - Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 -ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 -Alleged FBI - No Major Violations Identified <br />29 -Alleged FBI -Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97..: Disaster Planning and Response <br />� <br />9: UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 -Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />omp aint Reviewed by: ate:cr j u Updated y: ate�? <br />�' <br />5104.rp1 <br />