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Updated by: a Date: tigiu "2.omplaint Reviewed by: — Date: <br />5104. rpt <br />tAA/ <br />Complaint Investigation Form <br />Report #: 5104 <br />COMPLAINT ID: C00052806 <br /> <br />Site Location: 7606 WINDMILL COVE RD Account ID: AR0033536 <br /> <br />Received by: EE0009832 ACEVEDO <br /> <br />Received Date: 10/19/2020 Print Date: 10/19/2020 4:45:15I'M <br />Assigned To: EE0009832 ACEVEDO <br /> <br />Assigned Date: 10/19/2020 <br />Program/Element Code 1600- FOOD PROGRAM <br />Complainant: <br />Home Phone <br />E-Mail Address <br />ANONYMOUS <br /> <br />Nature of complaint: <br />FACILITY IS HOSTING PARTIES AND NO ONE IS FOLLOWING MASK OR SOCIAL DISTANCING PROTOCOLS. <br />Complaint Mode: I Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriffs Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br /> <br />RESPONSIBLE PARTY INFORMATION <br /> <br />Facility: FA0018866 - <br />Site Location <br />WINDMILL COVE BAR & GRILL LLC RP DBA <br />RP mailing address <br /> <br />7606 WINDMILL COVE RD <br />STOCKTON, CA 95206 <br />SAN JOAQUIN RIVER <br /> <br /> <br />209-948-6995 <br /> <br />Doss Street <br />Mailing address RP contact <br />RP contact phone <br /> <br />Phone <br /> <br />Owner: 0W0018529 <br />DBA <br />Owner address <br />Billing Address <br />Home Phone <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />District 003 - PATTI, TOM <br />APN 13122008 <br />Location Code 99- UNINCORPORATED AREA <br />Date Abated \() I i t x.) <br /> <br />Inspector ID #: <br /> <br />Aftc‘,,e) <br /> <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code:0) <br />Circle appropriate Status Code <br />01 - Field Response-Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Referred to Other Agency <br />-0- Unable to Verify Alleged Complaint <br />10-POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint-See Program Enforcement Action Form <br />15- ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed-No Abatement Required <br />52 - LEAD Abatement Regired-See Program Record File <br />97 -Disaster Planning and Response <br />99 - UNSPECIFIED-Old Complaint-No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued-Pending Well Installation <br />RS - Resolved - New Well Installed <br />Si - Tank pumped <br />S2 - Hooked up to public sewer