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Complaint Investigation Form Report#:5104 <br /> a4-� <br /> COMPMINT ID: C00033236 Site Location: 5648 N EL DORADO ST Account ID: AR0002179 <br /> Received by: EE0000467 CARRUESCO Received Date: 2125/2011 Print Date: 2/25/2011 3:39:32PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 2/25/2011 <br /> Program/Element Code:3600-RECREATIONAL HEALTH PROGRAM <br /> Complainant: ;JOHN Nome Phone <br /> Address Work Phone <br /> E-Mail Address smilicQat 5geyahoo.com <br /> Nature of complaint. <br /> BOTTOM OF POOL IS DIRTY WITH GARBAGE AND DEBRIS FLOATING. <br /> Complaint Made: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Office <br /> T <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002168-ST MARYS HIGH SCHOOL Owner: OW0001686-ST MARYS HIGH SCHOOL <br /> Site Location 5648 N EL DORADO ST RP/DBA ST MARYS HIGH SCHOOL <br /> STOCKTON,CA 95207 RP Address 5648 N ELDORADO <br /> Cross Street EL DORADO STOCKTON,CA 95207 <br /> Mailing Address: PO BOX 7247 Billing Address 5648 N ELDORADO <br /> STOCKTON,CA 95267-0247 STOCKTON,CA 95207 <br /> Home Phone <br /> Phone :209-957-3340 Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> APN 10209001 <br /> Date Abated 1)1_27V�W"1 Inspector. <br /> Send Referral to 1111 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Codeou <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 66 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> N <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SU BSTANDAR DIUNSEC U RED-See Mousing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5 rpt / <br />