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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00018572 Site Location: 2180 E MARIPOSA RD Account m: AR0002852 <br /> Received by. EE0003600 Campbell Received Date: 2/3/2003 <br /> Assigned To: EED006213 PEDRAZA Assigned Date: 2/3/2003 <br /> Program/Element Code: 1618-RETAIL MKT X2000 SQ FT (PREPKGD/LTD PREP) <br /> Complainant: <br /> : <br /> Nature of complaint: <br /> 02/01/03 @ 3:30PM THERE IS NO RUNNING WATER,NO PAPER TOWELS, NO SOAP, NO SEAT COVERS IN WOMEN'S RESTROOM,ALSO <br /> THERE IS FECES AND BLOOD ON FLOOR&WALLS. (C)NOTIFIED MANAGER IN LAYAWAY. <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: FA0003278-KMART#3174 Owner: OW000231i5-KMART CORP <br /> RP/DBA: KMART <br /> Site Location: 2180 E MARIPOSA RD RP Address: <br /> <br /> Mailing Address: 3100 W BIG BEAVER <br /> Billing Address:: <br /> <br /> <br /> <br /> District Location Code 01 -STOCKTON <br /> APN ny l� <br /> Date Abated Q 4 �1 <br /> Inspector L fA <br /> Send Referral to: <br /> Referral Address.- <br /> Referral <br /> ddress:Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: 09 <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 /> I 03-NAI Sent 16-Letter Sent To Tenant <br /> t04-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/Unabte 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 W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 51 a4.rpt <br />