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CO0047620
EnvironmentalHealth
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1600 - Food Program
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CO0047620
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Entry Properties
Last modified
8/29/2023 3:41:51 PM
Creation date
1/10/2019 4:26:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0047620
PE
1600
FACILITY_ID
FA0021886
FACILITY_NAME
Love's Travel Stop #538
STREET_NUMBER
15250
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
Lodi
Zip
95242
APN
02519033
ENTERED_DATE
10/19/2018 12:00:00 AM
SITE_LOCATION
15250 THORNTON RD
RECEIVED_DATE
10/19/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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j14/1 Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: 000047620 Site Location: 15250 THORNTON RD Account ID: AR0039854 <br /> Received by: EE0001788 CASTANEDA Received Date: 10/19/2018 Print Date: 10/19/2018 4:07:02PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 10/19/2018 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT USE MENS ESTROOM ON 10/18 AND SAID THERE IS FECES ALL OVER THE WALLS.ALSO,MOSQUITOES ARE ALL OVER <br /> THE SINK AND THE SIN IS NOT FUNCTIONAL BECAUSE OF IT. <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-Sherifrs Office <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0021886-Love's Travel Stop#538 Owner: OW0009856-Love's Travel Stops and Country Stores <br /> Site Location 15250 N THORNTON RD RP/DBA : <br /> Lodi,CA 95242 RP Address PO BOX 26210 <br /> Cross Street OKLAHOMA CITY,OK 73126 <br /> Mailing Address: PO Box 26210 Billing Address PO BOX 26210 <br /> Oklahoma City,OK 73126 Oklahoma City,OK 73126 <br /> Home Phone :405-687-1060 <br /> Phone :405-687-1060 EXT: Work Phone :405-242-2455 EXT: <br /> District 004-W INN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 0251963 <br /> Date Abated /D' 2, J ( S Inspector ID#: <br /> ———————————————— —————————————— <br /> ———————— <br /> �— <br /> Send Referral to Referral letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: n <br /> Circle appropriate Status Code !J <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations 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 /> ompaint Reviewed by: Date: Up ate y: Dat <br /> f V11 <br /> i <br /> 5104.rpt <br />
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