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ate► Complaint Investigation Form Report #: 5104 <br />COMPLAINT ID: C00047297 Site Location: 2670 W MARCH LN Account ID: AR0002043 <br />Received by: EE0003361 FLOHRSCHUTZ Received Date: 8/22/2018 <br />Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 8/22/2018 <br />Program/Element Code:1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br />CLAIMS THE EGGS MADE HER SICK. ALSO SAID THE "LINE" IS DOWN. <br />Print Date: 8/22/2018 8:30:13AM <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-Intemet / Email S -Sheriffs Office <br />------------------------------------------------- <br />PROPERTY INFORMATION OWNER INFORMATION <br />Facility: FA0002035 - Dennys <br />Site Location 2670 W March Ln <br />Stockton, CA 95207 <br />Cross Street HWY 5 OFF RAMP <br />Mailing Address: 2670 W March Ln <br />Stockton, CA 95207 <br />Phone :209-743-3063 EXT: <br />District 002 - MILLER, KATHERINE <br />APN 11002007 <br />Date Abated �- w-1 <br />Send Referral to <br />Referral Address <br />Complaint Status Code: '� I <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 />- Alleged FBI - No Major Violations Identified <br />9 - Alleged FBI -Major Violations Identified <br />Owner: OW0000819 - Anil Yadaz <br />RP/DBA <br />RP Address <br />3550 MOWRY AVE STE 301 <br />FREMONT, CA 94538 <br />Billing Address <br />3550 Mowry Ave #301 <br />Fremont, CA 94538 <br />Home Phone <br />: 510-792-3393 <br />Work Phone <br />:510-792-3392 EXT: <br />Location Code 01- STOCKTON <br />Inspector ID #: f loll rs G 1��,'t f Z <br />Referral Letter Sent by <br />Date: <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - 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: 4� 11110 <br />` ate: I Updatedy: ate: <br />5104.rpt <br />