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. I <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046635 Site Location: 4405 PACIFIC AVE Account ID: <br /> Received by: EE0000040 JIMENEZ Received Date: 5/23/1991 Print Date: 5/15/2018 3:40:42PM <br /> Assigned To. EE0000753 NG Assigned Date: 5/15/2018 <br /> Proaram/Element Code:1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> THIS COMPLAINT WAS FOUND IN FILING CABINETAND ALLEGES"ON 5/23/1991 PURCHASED PASTRAMI AND RYE SANDWICH-MEAT HAD <br /> GREEN SPOTS AND SMELLED BAD-OPERATOR SAID PRE-SLICED MEAT TURNS GREEN." ORIGINAL CO#910742 DATED 5/23/1991 <br /> (GIVING IT AN 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 I Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:MARK GRIFFIN <br /> Site Location 4405 PACIFIC RP/DBA VINTAGE CAR WASH <br /> STOCKTON,CA 95204 RPAddress <br /> <br /> <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11024014 <br /> Date Abated O ,�' ' Inspector ID#: ry C <br /> Send Referral to U Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: �'L <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp amt Reviewed by: A_ ate: Updated y: at <br /> 1\ Ii1 _/X <br /> 5104.rpt <br />