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Complaint Investigation Form Report* 5104 <br /> COMPLAINT 1by <br /> C00024461 Site Location: 1320 PERFORMANCE DR Account ID: <br /> Received EE0003361 FLOHRSCHUTZ Received Date: 5/9/2006 Print Date: 5/9/2006 4:10:59PM <br /> Assigned To: EE.0001699 YOAKUM Assigned Date: 5/9/2006 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : MARK SQUIRES Nome Phone : 2SCANNE�] <br /> Address Work Phone SCANNED <br /> Nature of com Taint: <br /> THE COFFEEIHOT COCOA MACHINE IS UNSANITARY AND HAS BUGS IN IT. <br /> Complaint Mode: P ComplaintMode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ---------——————— ----------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:NOLL MANUFACTURING COMPANY Responsible Party or Property Owner:NOLL MFG CO <br /> Site Location 1320 PERFORMANCE RP/DBA NOLL MANUFACTURING COMPANY <br /> STOCKTON,CA RP Address 1320 PERFORMANCE DR <br /> STOCKTON,CA 95206 <br /> Billing Address 1320 PERFORMANCE DR <br /> Nome Phone <br /> Phone :209-234-1600 Work Phone <br /> District Location Code <br /> APN s <br /> Date Abated 5-10 _�(_ Inspector: <br /> Send Referral to rr Referral Letter Sent by <br /> Refefral Address Date: <br /> Complaint States Code:b 2 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> �63J NAI SENT 16•LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> oa-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> io-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> completed <br /> s1o4.rpt <br />