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16 Complaint Investigation Form Report#: 5104 <br />COMPLAINT ID: C00046398 Site Location: 1674 E HAMMER LN Account ID: : <br />Received by: EE0000025 SEDRA <br />Assigned To: EE0000753 NG <br />Program/Element Code:1600 - FOOD PROGRAM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />-HIS COMPLAINT WAS FOUND IN FILE CABINET AND ALLEGES "WOOD CHIPS, POSSIBLY TOOTH PICKS BROKEN UP IN THE BLUEBERRY <br />\ND MAPLE SYRUP ON THE TABLE. DAUGHTER POSSIBLY INGESTED SOME OF THIS. COMPLAINANT TALKED TO WAITRESS AND SHE <br />iAID THIS HAPPENS A LOT." ORIGINAL COMPLAINT NUMBER 91-0352 DATED 3/19/1991 (GIVING IT AN ENVISION COMPLAINT NUMBER TO <br />1AVE 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 PROPERTY OWNER INFORMATION <br />Property Name: INTERNATIONAL HOUSE OF PANCAKES Responsible Party or Property Owner: ELAINE - MANAGER <br />Site Location 1674 E HAMMER RP/DBA <br />STOCKTON, CA 95210 RP Address <br />Cross Street WEST LANE FRONTAGE <br />Phone - <br />Billing Address <br />Home Phone <br />Work Phone <br />District 002 - MILLER, KATHERINE Location Code 01 - STOCKTON <br />APN 09428015 <br />Date Abated( _ Inspector ID #: <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code c 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 />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 Regired-See Program Record File <br />//97 - Disaster Planning and Response <br />X99)- 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 / pdate y:A Date- 1 <br />5104.rpt <br />