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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047116 Site Location: 7920 N LOWER SACRAMENTO RD Account ID.' <br /> Receivedby: EE0000025 SEDRA Received Date: 5/17/1991 Print <br /> <br /> <br /> <br /> Address ; 1141 W SWAIN Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> ON 5/17/91 ORDERED FOOD TO GO. BEANS AND RICE WERE OLD,ATE OTHER FOOD.FRIEND ALSO ATE SOME OF THE FOOD. BOTH HAVE <br /> STOMACH CRAMPS.THEY ATE THE FOOD AT 3:00 PM APPROXIMATELY 1/2 HOUR LATER HAD THE STOMACH CRAMPS,NO DIARRHEA OR <br /> VOMITING AS YET. <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 PROPERTY OWNER INFORMATION <br /> Property Name:TIO PEPIS Responsible Party or Property Owner <br /> Site Location 7920 N LOWER SACRAMENTO RP/DBA <br /> STOCKTON,CA 95330 RP Address <br /> Cross Street HAMMER LN <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 003-BESTOLARIDES,STEVE Location Code Ol-STOCKTON <br /> APN NEAR 07523040 <br /> Date Abated q,-r)_(9- f� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: C C1 <br /> Circle appropriate Status Code 1e <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency X99'-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 /> ompaint Reviewed y: ate; l <br /> pate y: ate-'. k <br /> 21-. <br /> 5104.rpt <br />