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Complaint Investigation Form Report#:5104 <br /> �f <br /> COMPLAINT ID: C00018270 Site Location: 2180 E MARIPOSA RD <br /> Account 1D: AR0002852 <br /> l <br /> Received by: EE0002282 RABACA Received Date: 11/6/2002 <br /> { <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 11/6/2002 <br /> Program/Element Code: 1618-RETAIL MKT>2000 SQ FT(PREPKGD ONLY) <br /> Complainant: <br /> : <br /> Nature of complaint: <br /> WOMAN'S BATHROOM IS VERY DIRTY, FECES ON FLOOR AND TOILET PAPER ON FLOOR... <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-MaiilCorrespondence - O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0003278-KMART#3174 Owner: OW0002315-KMART CORP <br /> RP/DBA: KMART <br /> Site Location: 2180E MARIPOSA RD <br /> STOCKTON,CA 95205 RP Address: <br /> <br /> Mailing Address: 3100 W BIG BEAVER <br /> Billing Address:: <br /> <br /> <br /> <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Date Abated O <br /> Inspector <br /> Send Referral to.- <br /> Referral <br /> o.Referral Address: <br /> , <br /> .i <br /> Referral Letter Sent by. <br /> Date: <br /> Complaint Status Code: <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 1 Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne 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 WlSoiI Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rpt <br />