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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046638 Site Location: 4405 PACIFIC AVE <br /> Account ID: <br /> Received by: EE0000040 JIMENEZ <br /> Received Date: 9/10/1991 Print Date: 5/15/2018 4:13:2311M <br /> Assigned To: EE0000753 NG Assigned Date: 5/15/2018 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Home Phone <br /> <br /> <br /> <br /> <br /> Nature of complaint: <br /> THIS COMPLAINT WAS FOUND IN FILING CABINET AND ALLEGES"DELI TWO COMPARTMENT SINK AND HAND WASH SINK HAVE BEEN <br /> -UTENSILS BEING CLEANED IN <br /> SPORTED IN MANAGER'S CAR FRO <br /> MO <br /> HES <br /> ESTO <br /> CO#91E 82S DATEDC9110/1991 N(GIVING T AN ENVISION COMP ANT#ODHAVEE IN DATABASE FOR FUTURE REFERENCE.) ORIGINAL <br /> Complaint Mode: pComplaint 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 /> --------- <br /> --------------- -------------------------------------------------------------------------------- ---------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Responsible Party or Property Owner:MARK GRIFFIN <br /> Property Name: <br /> RP/DBA VINTAGE CAR WASH <br /> Site Location 4405 PACIFIC <br /> STOCKTON,CA 95204 RP Address <br /> <br /> <br /> <br /> Home Phone <br /> Work Phone <br /> Phone <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 11024014 <br /> Date Abated C)_ /�, --Gf I Inspector ID#: <br /> -------- ----- ---- ----- -- -- - -- -- - <br /> ------------------------------------------------------------------------------- <br /> ------------------------------ <br /> Send Referral to Referral Letter Sent by <br /> Date: <br /> Referral Address <br /> Complaint Status Code: <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 �7-;Disaster Planning and Response <br /> 07-Refferred to Other Agency �9r UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint <br /> 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 aint Reviewedy: ate:Q pate y: j ate= <br /> 5104.rpt <br />