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Complaint Investigation Form Report#:5104 <br /> COMPLAINT I C00028962 Site Location: 1700 E YOSEMITE AVE Account ID: AR0003381 <br /> Received b EE0007380 SHIN Received Date: 9/2/2008 Print Date: 912!2008 2:47:13PM <br /> Assigned To. EE0001084 RAMIREZ Assigned Date: 9/2/2008 <br /> Proaram/Element Code 1600-FOOD PROGRAM <br /> Complainant, :ANONYMOUS Home Phone <br /> Address Work Phone <br /> Nature of complaint: <br /> ffMEN'S RESTROOM THERE ARE NO PAPER TOWELS AND A BAD ODOR. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors!City Council C-Counter <br /> E-Code Enforcement M-Mail1 Correspondence O-Other EH Unit P-Phone <br /> — T <br /> FACILITY INFORMATIONOWNER INFORMATION <br /> Facility:FA0003796-STATEWIDE PETROLEUM INC 9, Owner: OW0012876-STATEWIDE PETROLEUM INC <br /> Site Location 1700 E YOSEMITE AVE RP/DBA STATEWIDE PETROLEUM INC <br /> MANTECA,CA 95336 RP Address 7287 ROYAL OAKS CT <br /> Cross Street PLEASANTON,CA 94566 <br /> Mailing Address: 1700 E YOSEMITE AVE = Billing Address 7287 ROYAL OAKS CT <br /> MANTECA,CA 95336 PLEASANTON,CA 94566 <br /> Home Phone ;408-230-8999 <br /> Phone :209-823-7676 Work Phone :209-823-7676 <br /> District 005-ORNELLAS,LEROY Location Code 04-MANTECA <br /> APN 22802002 <br /> Date Abated q1[a b b Inspector: p <br /> —---------------—-------------------------------- <br /> Send <br /> -- ------ ---------------- ---Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> t <br /> Complaint Status Code:(>4 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED Y 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 /> e <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> O6 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 /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 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 <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-1S 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 PLAN SUBMITTED(2) <br /> IE <br /> E � <br /> o4 <br /> -rpt <br />� a <br /> amp aint Reviewed by: ate: p ate y: ate: <br /> l' f <br />�L 5104.rpt <br />