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CO0046768
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PINE
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1600 - Food Program
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CO0046768
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Entry Properties
Last modified
4/12/2021 12:01:03 PM
Creation date
10/5/2018 9:11:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0046768
PE
1600
STREET_NUMBER
121
Direction
E
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04307216
ENTERED_DATE
5/30/2018 12:00:00 AM
SITE_LOCATION
121 E PINE ST
RECEIVED_DATE
11/6/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br />COMPLAINT ID: C00046768 Site Location: 121 E PINE ST Account ID: : <br />Receivedby: EE0000040 JIMENEZ Received Date: 11/6/1991 Print Date: 5/30/2018 4:40:20PM <br />Assigned To: EE0000753 NG Assigned Date: 5/30/2018 <br />Program/Element Code: 1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br /> <br />FIRE AT MANDARIN HOUSE AT 1:00 PM ON 11/6/1991 CAUSED SMOKE TO GO INTO MOMBOS - SOME SMOKE DAMAGE - OWNER PLANNING <br />TO CLEAN UP AND OPEN AT 11:00 AM ON 11/6/1991." ORIGINAL CO # 912033 DATED 11/6/1991 <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: Responsible Party or Property Owner: MOBOS <br />Site Location 121 E PINE RP/DBA MOBOS <br />LODI, CA 95240 RPAddress 121 E PINE ST <br />Cross Street LODI, CA 95240 <br />Billing Address 121 E PINE ST <br />Phone • <br />Home Phone <br />Work Phone <br />District 004 - WINN, CHARLES Location Code 01 - STOCKTON <br />APN 04307216 <br />Date Abated C.; �� _ / J Inspector ID #: (y t <br />-------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------- <br />Send <br />----------- ---------------------------«- <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code: - :� ' <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 />C95 - 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:Dat ; p ate ate <br />/' y ). ��1;<`� <br />5104. rpt <br />
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