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Complaint Investigation Form Report#:5104 <br /> COMPLAINT If` C00052271 Site Location: 2610 W MARCH LN Account ID: AR0002014 <br /> Received by: EE0000014 MORENO Received Date: 7/15/2020 Print Date: 7/15/2020 11:47:22AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 7/15/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> THREE EMPLOYEES HAVE TESTED POSITIVE WITH COVID-19 <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/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> -- -------- ---------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002006-CARLS JR 0495/7485 RP DBA <br /> Site location 2610 W MARCH LN RP mailing address <br /> STOCKTON,CA 95207 <br /> Cross Street DA VINCI <br /> Mailing address 4749 Bennett Drive,Suite 1 RP contact <br /> Livermore,CA 94551 RP contact phone <br /> Phone 209-957-7311 EXT: <br /> Owner: OW0009994-WOMAR INC <br /> DBA CARLS JR <br /> Owner address 4749 BENNETT DR STE 1 <br /> LIVERMORE,CA 94551 <br /> Billing Address 4749 Bennett Drive,Suite I <br /> Livermore,CA 94551 <br /> Home Phone 925-292-1024 <br /> Work Phone 925-292-1024 EXT: 4 <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 11002002 <br /> Date Abated ; 1 Inspector ID#: _ <br /> ———————— --------------------------------- <br /> Send <br /> --- ------°— -- ------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> LCircComplaint Status Code: 02-- <br /> Circle <br /> le 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 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 aint Reviewed by: ate: pate y: <br /> Dff1 .9 7A <br /> 5104.rpt <br />