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Complaint Investigation Form Account!D: AR0024977 Report#:5104 <br /> COMPLAINT ID: C00025465 Site Location: 713 N EL DORADO ST <br /> Received by: EE0000988 FOLEY <br /> Received Date: 1111512006 Print Date: 11/20/2006 2:29:3iPM <br /> Assigned To: EE0009155 YANG Assigned Date: 11!2012006 <br /> Proaram/Element Code -UST FACILITY <br /> 'CANNED <br /> Nome Phone <br /> Complainant: FOLEY <br /> Work Phone <br /> Address <br /> Nature of Complaint. <br /> STATION APPEARS TO BE CLOSED AND LUST'S APPEAR TO BE ABANDONED, <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-8d of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone------------- <br /> FACILITY <br /> `__`FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FAD014678-MR CAFE Owner: OW0011687-ESFANDIARY,FRED <br /> Site Location 713 N EL DORADO ST RP/DBA MR CAFE <br /> STOCKTON,CA 95202 RP Address 5969 SILVEROAK CIR <br /> STOCKTON,CA 95219-7187 <br /> Mailing Address: PO BOX 1370 Billing Address PO SOX 1370 <br /> STOCKTON,CA 95201 STOCKTON,CA 95201 <br /> Home Phone :408-807-9839 <br /> Phone :408-807-9839 Work Phone <br /> District 001 -GUTIERREZ,STEVE Location Code 01-STOCKTON <br /> APN 13905213 `` r1,, <br /> Date Abated j �C I v Inspector, 115 <br /> Send Referral to F J Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 04 <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 /> 0 ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <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 /> OB-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 51N.rpt <br />