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Vyi <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051815 Site Location: 3201 W BEN HOLD DR STE 185 Account ID. AR0011041 <br /> Received by: EE0000467 CARRUESCO Received Date: 3/31/2020 Print Date: 3/31/2020 10:10:54AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 3/31/2020 <br /> Proaram/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> FACILITY IS BREAKING APART TOILET PAPER ROLLS AND SELLING THE ROLLS INDIVIDUALLY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I 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:FA0007365-MARINA MARKETPLACE RP DBA <br /> Site Location 3201 W BENJAMIN HOLT DR 185 RP mailing address <br /> STOCKTON,CA 95219 <br /> Cross Street HERNDON <br /> Mailing address 3201 W BEN HOLT DR STE 185 RP contact <br /> STOCKTON,CA 95219 RP contact phone <br /> Phone 209-955-0380 <br /> Owner: OW0006074-TOY ENTERPRISES INC <br /> DBA MARINA MARKETPLACE <br /> Owneraddress 3201 W BEN HOLT DR STE 185 <br /> STOCKTON,CA 95219 <br /> Billing Address 3201 W BEN HOLT DR STE 185 <br /> STOCKTON,CA 95219 <br /> Home Phone 209-823-3523 <br /> Work Phone 209-955-0380 <br /> District 002-MILLER,KATHERINE Location Code Ol -STOCKTON <br /> APN 10017009 <br /> Date Abated Inspector ID#: t 13 <br /> ------------------------------------ ---- - <br /> Send Referral to ' Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 04l1 <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-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 Prog{am 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 ai. iewe y: 1 zo ate: Updatedy: (flat VIA <br /> .1 <br /> 5104.rpt <br />