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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046116 Site Location: 1233 E CHARTER WAY Account ID <br /> Received by: EE0000040 JIMENEZ Received Date: 2!22/1991 Print bate: 3/29/2018 3:44:591'M <br /> Assigned To: EE0000753 NG Assigned Date: 3/29/2018 <br /> ProgramlElement Code16OO-FOOD PROGRAM <br /> Complainant: :JOSE PUGA Home Phone : 209462-8382 <br /> Address :2323 SOMMERSET DR Work Phone <br /> STOCKTON,CA 95205 E-Mail Address <br /> Nature of complaint: <br /> THIS COMPLAINT WAS FOUND IN FILING CABINET AND ALLEGES"COMPLAINANT HAD BREAKFAST 2/21191 IN MORNING,COCKROACH WAS <br /> FOUND IN FOOD, HAD VOMITING 8,DIARRHEAAND STOMACH PAIN.WENT TO SEE DOCTOR IN SAN JOSE AND WAS GIVEN MEDICATION." <br /> ORIGINAL CO#910230 DATED 02!2211991 (GIVING ITAN ENVISION COMPLAINT#TO HAVE IN DATABASE FOR FUTURE REFERENCE.) <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral S-Bd of Supervisors i City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> I-Internet!Email S-Sheriffs Office <br /> ------------------------------------------ <br /> ----------------------------------------------------- ------------------------------------- <br /> - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:THE SPOT FAMILY RESTAURANT <br /> Site Location 1233 E CHARTER RP/DBA <br /> STOCKTON,CA 95206 RP Address 1233 E CHARTER WAY <br /> Cross Street STOCKTON,CA 95206 <br /> Billing Address 1233 E CHARTER WAY <br /> Home Phone :209-466-0689 <br /> Phone Work Phone 209-466-0699 <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 16320004 <br /> Date Abated Inspector ID#: <br /> ----------- <br /> ---------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> of-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 It 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 /> plaint Revie ate: Updated y: ate: l` <br /> omwe y: 1� <br /> 5104.rpt <br />