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ooV`^ QT Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045289 Site Location: 10878 N HWY 99 E FRONTAGE RD Account ID: AR0032013 <br /> Receivedby: EE0007541 FIELD Received Date: 12/15/2017 Print Date: 12/15/2017 4:41:20PM <br /> Assigned To: EE0078788 FAHMY Assigned Date: 12/15/2017 <br /> Program/Element CodeA 600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES REFRIGERATORIFREEZER KEEPS GOING OUT AND SITS ALL DAY WITH FOOD IN IT.COMPLAINANT IN <br /> CONCERNED ABOUT FOOD GETTING WARM AND NOT BEING THROWN OUT.COMPLAINANT STATED THEY SPOKE TO MANAGER ABOUT <br /> THEIR CONCERNS AND MANAGER IS NOT CONCERNED.PLEASE CALL COMPLAINANT WITH FINDINGS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/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 Once <br /> ------------------- ------------------------------ <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0018199-FAST AND EASY MART CHEVRON MORADA Owner: OW0014938-AASIM CORPORATION <br /> Site Location 10878 N HWY 99 RPrDBA FASTIEASY MART CHEVRON MORADA <br /> STOCKTON,CA 95212 RPAddress 20 TWELVE OAKS DR <br /> Cross Street HWY 99 OFF RAMP PLEASANTON,CA 94566 <br /> Mailing Address: 5000 E SECOND ST STE G Billing Address 5000 E SECOND ST STE G <br /> BENICIA,CA 94510-1019 BENICIA,CA 94510-1019 <br /> Home Phone ;925-461-9999 <br /> Phone :209-931-6154 Work Phone :209-931-6154 <br /> DisMct 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN 08607002�r I Inspector ID#: 6elf <br /> � <br /> Date Abated I <br /> ————————————————————————————————————--i— <br /> Send Referral to Referral Letter Sent by <br /> Refema/Address Date: <br /> Complaint Status Coder <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 52-LEAD Abatement Reqired-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 51-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# 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 /> ompamt Reviewed by: qx� 2 /ate: Updated by: a <br /> 7 <br /> 5104 rpt <br />