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Complaint Investigation Form P� D�Lf��J/� Report#:5104 <br /> COMPLAINT ID: C00047731 Site Location: 8900 THORNTON RD Account ID: AR0004818 <br /> Received by: EE0009830 SAUERS Received Date: 11/6/2018 Print Date: 11/6/2018 2:57:07PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 11/6/2018 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THERE IS A HOLE IN THE FLOOR BEHIND THE BAR CAUSED BY DRY ROT.POSSIBLE MOLD.COMPLAINANT <br /> ALLEGES THE HOLE HAS BEEN THERE FOR SEVERAL MONTHS. <br /> Complaint Mode: ILII 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:FA0002670-ELKS CLUB#218 Owner: OW0002022-ELKS CLUB#218 <br /> Site Location 8900 THORNTON RD STE#1 RP/DBA ELKS CLUB#218 <br /> STOCKTON,CA 95209 RP Address 8900 THORNTON RD STE#1 <br /> Cross Street THORNTON STOCKTON,CA 95209 <br /> Mailing Address: 8900 THORNTON RD STE#I Billing Address 8900 THORNTON RD STE#1 <br /> STOCKTON,CA 95209 STOCKTON,CA 95209 <br /> Home Phone <br /> Phone Work Phone <br /> District 003-PATTI,TOM Location Code O1-STOCKTON <br /> APN 07242004 <br /> Date Abated l ` _ ��, $ Inspector ID#: �0 r l V1.11- 7 <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:AJr w I <br /> Circle appropriate Status Code <br /> 0 -Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> Vffice Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> iolations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-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 /> omplaint Reviewed y: Date: Up ate y: Date: �� <br /> l <br /> 5104.rpt <br />