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- Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID. C00017840 Site Location: 3201 W BENJAMIN HOLT DR 9 Account 1D: AR000,1793 <br /> Received by: EE0009627 AGPAt1A Received Date: 8!712002 <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 817/2002 <br /> Proaram/Element Code: 1625-RESTAURANTIBAR 51-100 SEATS <br /> Complainant: BEVERLY Nome Phone:. 209-955-5570 <br /> Address: Work Phone. <br /> Nature of complaint: <br /> REALLY BAD CARPETS,FILTHY,FOOD LEFT ON TABLES,GENTLEMAN COOKING UN KEPT.BATHROOM DIRTY,FOOD IN SALAD BAR <br /> OLD. FILTHY. <br /> Complaint Mode P Complaint Mode Codes. A-Agency Referral 8-8d of Supervisors/City Council E-Code Enforcement <br /> M-MaillCorrespondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001793-ROUND TABLE PIZZA Owner: OW0000119-H&H PIZZA,INC <br /> RPIDBA: ROUNDTABLE PIZZA <br /> Site Location: 3201 W BENJAMIN HOLT DR 9i RP Address: 31 E 6TH ST <br /> STOCKTON,CA 95219 <br /> TRACY,CA 95376 <br /> Mailing Address: 31 E 6TH ST Billing Address:: 31 E 6TH ST <br /> TRACY,CA 95376 TRACY,CA 95376 <br /> Phone: Phone: Hm: 209-333-3755 <br /> Wk: 209-832-8030 <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Date Abated Ip L <br /> Inspector }C. <br /> Send Referral to: <br /> Referral Address; <br /> Referral Letter Sen(by- <br /> Date: <br /> Complaint Status Code: g' <br /> 01-Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Casa-Now Complaint Sap Active Cage rM <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 Hazard Evaluation Required(t) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-)Invalid I Unable To Verify 51-Lead Hazard Work Plan Submitted(2) <br /> -Foodbomo Inness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case 0 ' 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 WlSoll Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rp1 <br /> Mr <br />