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i Complaint Investigation Form Report 5104 <br /> COMPLAINT ID: C00040580 Site Location: 4105 N WILSON WAY AccountiD: AR0034956 <br /> Received by: EE0009488 WONG Received Date: 10/25/2015 Print Date: 10/27/2015 9:22:1 IAM <br /> Assigned To: EE0009488 WONG Assigned Date: 10/25/2015 <br /> Prooram/Eiement Code 1600-FOOD PROGRAM <br /> Complainant: Complainant Not Specified Nome Phone <br /> Address Work Phone . <br /> Mai!Address <br /> Nature of complaint: <br /> SWAP MEET OPERATING WITHOUT A PERMIT ON 10125!2015. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> --------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0019628-NEW STOCKTON 99 SPEEDWAY Owner: OW0016091 -NOCETI GROUP INC <br /> Site Location 4105 N WILSON WAY RP/DBA <br /> STOCKTON,CA 95205 RP Address PO BOX 340 <br /> Cross Street MCALLEN 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 /> Nome Phone :209-466-9999 <br /> Phone :209-466-9999 Work Phone :209-482-6969 <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 13202014 / <br /> Date Abated 0 �l 1�/r Inspector ID#: <br /> Send Referral to �I Referral Letter Sent b <br /> Referral Address Date: <br /> Complaint Status Code: 62 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record file <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PO-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> r <br /> omp aint Reviewed by: r ate: UpdateFTT ate: <br /> 5104 rpt <br />