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Complaint Investigation Form Report#:5304 <br /> CdMPLAINT 1D: C00020860 Site Location: 122 N WILSON WY Account ID: <br /> a <br /> Received by: EE0000099 FROST Received Date: 5/24/2004 Print bate: 5/24/2004 3:20:37PM <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 5/24/2004 r <br /> I <br /> I <br /> Pro —ram/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> Nature of complaint. <br /> (C)STATES FOOD BEING SOLD ON PALLETS BEHIND PREMISE ADDRESS. FECES, DIRT, GARBAGE ALL AROUND WHERE FOOD IS BEING <br /> SOLD. <br /> Complaint Mode: PComplaint Made 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: Responsible Party or Property Owner <br /> Site Location 122 N WILSON RP/DSA <br /> STOCKTON,CA RP Address <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated �`„ �l - — Inspector- <br /> Send Referral to l L/ Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: v <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> t <br /> +�r0►.A 1PLAINr <br /> COPY <br /> 5104.rpt <br />