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Complaint Investigation Form Report#:5104 <br /> COMP IN'T ID: 000030123 Site Location: 4105 N WILSON WAY Account ID: AR0002147 <br /> R ceivedby: EE0006213 PEDRAZA Received Date: 4117/2009 Print Date:4/17/2009 11:01:3 SAM <br /> A signed To: EE0006213 PEDRAZA Assigned Date: 4/17/2009 <br /> Proaram/Etement Code 1600-FOOD PROGRAM <br /> Complainant: :SPECTATOR Nome Phone <br /> Address Wort/Phone ; <br /> Nature of corn laint: <br /> THER ARE HOLES ON THE WALL IN THE UPPER CONCESSION AND FOOD IS BEING PREPARED. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------------------ <br /> FACILITY <br /> — ------- - ------ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002137-NEW STOCKTON 99 SPEEDWAY Owner. OW0001664-NOCETI GROUP INC <br /> Site Location 4105 N WILSON WAY RPIDBA : <br /> STOCKTON,CA 95205 RP Address PO BOX 340 <br /> Cross Street FRENCH CAMP,CA 95231 <br /> Mailing Address: PO BOX 340 Billing Address PO BOX 340 <br /> FRENCH CAMP,CA 95231 FRENCH CAMP,CA 95231 <br /> Home Phone ;209-466-9999 <br /> Phone :209-466-9999 Work Phone :209-452-6969 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 13202014 <br /> Date Abated 'i 5_10 <br /> q Inspector. 3 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: v l/q <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 NFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> VREFERRED <br /> D PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint laint History <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Camp <br /> Attached But Not <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> scanned13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11 <br /> 4 rpt <br />