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l Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00045391 Site Location: 3201 W BENJAMIN HOLT DR Accountio. AR0011041 <br /> Receivedby: EE0000012 MARTORELLA Received Date: 1/10/2018 <br /> EE0006213 PEDRAZA <br /> Assigned To.: Print Date: 1/102018 2:19:58PM <br /> Assigned Date: 1/10/2018 <br /> Pro911197105frOnt ode.-1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> <br /> Nature of complaint: <br /> NO HOT WATER AVAILABLE AT FACILITY.HAVING TO BOIL WATER ON SITE FOR CLEANING. <br /> Complaint Mode: p <br /> Complaint <br /> Mode Cotlas A-Agency Referral B-Bd of Supervisors/City Council <br /> C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> — — —IN— ----------- <br /> I-Internet/Email S-Sheriff's Office <br /> OR ----------------------------_ <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0007365-MARINA MARKETPLACE <br /> Owner: OW 0006074-TOY ENTERPRISES INC <br /> Site Location 3201 W BENJAMIN HOLT DR 185 RP/DBA <br /> MARINA MARKETPLACE <br /> STOCKTON,CA 95219 - RPAddress 3201 W BEN HOLT DR STE 185 <br /> Cress Street HERNDON <br /> STOCKTON,CA 95219 <br /> Mailing Address: 3201 W BEN HOLT DR STE 185 BillingAddress <br /> 3201 W BEN HOLT DR STE ISS <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Home Phone :209-823-3523 <br /> Phone :209-955-0380 Work Phone <br /> :209-955-0380 <br /> District 002-MILLER,KATHERIIN Location Code 01-STOCKTON <br /> APN 10017009 mp <br /> Date Abated ——————Inspector ID If. L& <br /> —— <br /> Send Referral to —————_ ----------- <br /> Re/errd/Address Referral Letter Sent by <br /> Dale: <br /> Complaint Status Code: n <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 1 52-LEAD Abatement Reglred-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 /> 26-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaml Remewe y' <br /> atep ate y: st <br /> 5104.rpt <br />