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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016105 Site Location: 1138 S MAIN ST Account ID AR0009289 <br /> Received by: EE0000099 Frost Received Date: 6/18/2001 <br /> Assigned To: Assigned Date: 6/18/01 <br /> ProaranvElement Code: 1625-RESTAURANT/BAR 51-100 SEATS <br /> <br /> <br /> Nature of complaint: <br /> ATE AT DAIRY QUEEN LAST NIGHT,BUT RESTAURANT WAS VERY DIRTY. <br /> Complaint Mode P Complaint Mode Codes. A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O.Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000814-DAIRY QUEEN Owner: OW0005549-DUAN,RAYMOND <br /> RP/DBA: DAIRYQUEEN <br /> Site Location: 1138 S MAIN ST RPAddress: 9625 THORNTON ROAD <br /> MANTECA,CA 95336 <br /> STOCKTON,CA 95209 <br /> Mailing Address: 9625 THORNTON ROAD <br /> STOCKTON,CA 95209 Billing Address.,: 9625 OROAD <br /> STOCKTKTON,N,CA CA 95209 <br /> Phone:l st: 209,+173-1929 ��j� Phone: Hm: 209-473-1210 <br /> Wk: 209-473-1929 <br /> District 005-BEDFORD,LYNN Location Code 04-MANTECA <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: O <br /> 01-Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> o1a4.Tt <br />