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� Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00014766 Site Location: 5308 PACIFIC AVE Account ID: AR0002466 <br /> Received by: EE0006519 DISA Received Date: 8/29/2000 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 8/29/00 <br /> Program/Bement Code: 1613-FOOD EST 501-1000 SQ FT W/O SEATING <br /> Complainant. <br /> <br /> Nature of complaint: <br /> MANAGER SMOKING IN BACK. <br /> Complaint Mode P Complaint Mode Codes A-Agency Refern B-Bd of Supervisors/City C-Counte E-Code En(OfCemE <br /> M-Mail/Corresponds O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002905-LA BOULANGERIE OW0002169-BITAR, RAYMOND <br /> Site Location: 5308 PACIFIC AVE#88 DBA: LA BOULANGERIE <br /> STOCKTON,CA 95207 RPAddress: 3868 WINDY COVE CIR <br /> Mailing Address: 5308 PACIFIC AVE#88 <br /> STOCKTON,CA 95207 Billing Address: 3868 WINDY COVE CIR <br /> Phone: 1st: 209-474-0424 STOCKTON, CA 95219-2505 <br /> Phone: <br /> Wk: 209-474-0424 <br /> District: Location Code: 01 -STOCKTON <br /> APN: / <br /> Date Abated. I( UO <br /> Inspector. G <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: Date: <br /> Complaint Status Code: C) <br /> 2- <br /> Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 2 Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 3-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-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 /> 0104.rpt <br />