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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00016903 Site Location: 3201 W BENJAMIN HOLT DR 1 Account ID: AR0011041 <br /> Received by: EE0006519 DISA Received Date: 12/10/2001 <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 12/10/01 <br /> ProoranVElement Code: 1619-RETAIL MKT>1000 SQ FT(MULTIPLE DEPTS) <br /> Complainant: BRENDA O'HAIR Home Phone: <br /> Address: Work Phone: 209-468-2318 <br /> Nature of complaint: <br /> ON 12-08-01 BOUGHT BURGUNDY MARINATED BEEF,ATE ABOUT 6:30 PM. WIFE AND CHILDREN HAD VERY SMALL PORTIONS, <br /> FATHER ATE REGULAR AMOUNT. AT ABOUT 11:30 PM HUSBAND SUDDENLY GOT CRAMPS,THEN VOMITING AND DIARRHEA STILL <br /> HAS DIARRHEA TODAY. OTHER FAMILY MEMBERS DID NOT FELL WELL AFTER EATING. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0007365-MARINA MARKETPLACE Owner: OW0006074-TOY ENTERPRISES INC <br /> RP/DBA: MARINA MARKETPLACE <br /> Site Location: 3201 W BENJAMIN HOLT DR 185 RP Address.: 3201 W BEN HOLT DR STE 185 <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Mailing Address: 3201 W BEN HOLT DR STE 185 <br /> Billing Address:: 3201 W BEN HOLT DR STE 185 <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Phone:1st: 209-955-0380 Phone: Hm: 209-823-3523 <br /> Wk, 209-955-0380 <br /> District 002-MARENCO, DARIO location Code 01 -STOCKTON <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral letter Sent by: <br /> Date: /J <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Huard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 12(0 -Invalid/Unable To Venfy 51 -Lead Hazard Work Plan Submitted(2) <br /> -Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104 rpt <br />