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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00051395 Site Location: 3422 W HAMMER LN #J Account ID: AR0047026 <br /> Received by: EE0009836 SINGH Received Date: 12/31/2019 Print Date: 12/31/2019 3:47:26PM <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 12/31/2019 <br /> Program/Element Code 4100-SAFE BODY ART PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> PERMANENT COSMETICS TRAINING OCCURS AT THIS FACILITY.THE STUDENTS BEING TRAINED ARE NOT REGISTERED BY THE SJC <br /> ENVIRONMENTAL HEALTH DEPARTMENT. <br /> Complaint Mode: Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> -------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0025032-DREAMSCAPE BROWS(VANG,FONG) RP DBA DREAMSCAPE BROWS <br /> Site location 3422 W HAMMER LN UNIT J RP mailing address 3422 W.HAMMER LN#J <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Cross Street MARINERS <br /> Mailing address 5813 CARIBBEAN CIR RP contact <br /> STOCKTON,CA 95210 RP contact phone <br /> Phone 916-715-8401 <br /> Owner: OW0023696-VANG,FONG <br /> DBA DREAMSCAPE BROWS <br /> Owner address 5813 CARIBBEAN CIR <br /> STOCKTON,CA 95210 <br /> Billing Address 5813 CARIBBEAN CIR <br /> STOCKTON,CA 95210 <br /> Home Phone 916-715-8401 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN NEAR 07120014 <br /> Date Abated I I S/oZ O Inspector ID#: 6 N Cz I4 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Ol <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> ®-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp n evie y: to pate y: ate: <br /> -, i <br /> 5104.rpt <br />