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t <br /> y' Complaint Investigation Form Report#:5104 <br /> i <br /> COMPLAINT ID. C00028684 Site Location: 4055 N WILSON WAY Account m: AR0030506 <br /> Receivedby., EE0007380 SHIH Received Date: 7/17/2008 Print Date: 7/18/2008 8:51:42AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 7/1812008 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant : <br /> <br /> Nature of complaint. <br /> AN INACTIVATED ICE CREAM TRUCK(LIC.#6U69316)IS SELLING RUSTED BOTTLE DRINKS AROUND VICTORY PARK AT HARDING WAY AND <br /> NORTH STOCKTON STREET. --(C)REQUESTS A CALL BACK FROM INSPECTOR. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br />' ------------ ---------------------------- ------ <br /> FACILITY <br /> ----- ----------_------ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0017586-NEW VATAN ICE CREAM #6U69316 Owner: OW0014428-CHOUMWER,SURENDER K <br /> Site Location 4055 N WILSON WAY RP/DBA NEW VATAN <br /> STOCKTON,CA 95210 RP Address 5882 TEVLIN LN <br /> STOCKTON,CA 95210 <br /> Mailing Address: 5882 TEVLIN LN Billing Address 5882 TEVLIN LN <br /> STOCKTON,CA 95210 STOCKTON,CA 95210 <br /> Nome Phone :209-938-7258 <br /> Phone :209-952-6684 Work Phone ;209-464-6684 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 13202009 C/ <br /> Date Abated 7M,-O '( <br /> M Q ( Inspector., <br /> ———- - ------------------------- <br /> -------------- <br /> — — i <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code. <br /> I <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 /> ��9/�q��}ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> y ,�HD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> LOX7-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> �)FOODBORNE <br /> UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PIAN SUBMITTED(2) <br /> rpt , <br />