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r Complaint Investigation Form Report#:5104 <br /> CPMPLAINT ID: C00023092 Site Location: ARCH RD & HWY 99 AccountlD: <br /> Received by: EE0000467 CARRUESCO Received Date: 7/26/2005 Print Date: 7/27/2005 11:28:04AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 7/27/2005 <br /> Program/Element Code-1600-FOOD PROGRAM <br /> Complainant.. : <br /> <br /> Nature of com Taint: <br /> POSSIBLE ILLEGAL FOOD OPERATION AT ARCH RD AND HWY 99(NEAR POST OFFICE AND ROCK BOTTOM FURNITURE). NAME ON TENT: <br /> "JAIME'S PRODUCE",SELLING TRI-TIP, UNKNOWN IF IT IS AN APPROVED FACILITY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ------------------------------- --- — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location ARCH RD&HWY 99 RP/DBA <br /> STOCKTON,CA RPAddress <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MARENCO,DARIO Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Date Abated �/�'r Inspector: �� h5 � <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> SCANNED <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 /> 45-ENFORCEMENT ACTION INITIATED 16-ENFORCEMENT CASE-Transferred to VECTOR CONTROL PILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> $904 rpt <br />