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r t <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00053157 Site Location: 1658 S AIRPORT WAY Account ID: <br /> Received by: EE0009832 ACEVEDO Received Date: 12/17/2020 Print Date: 12/17/2020 11:15:45AM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 12/17/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> ILLEGAL VENDOR SELLING WITHOUT PERMIT. <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 /> Property Name: RP DBA <br /> Site Location 1658 S AIRPORT WAY RP mailing address <br /> STOCKTON,CA 95206 <br /> Cross Street DR MARITN LUTHER KING JR <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 001-VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN 06918007 <br /> Date Abated L7 jN Inspector ID#: oqn4m4� <br /> ------------------------------------------------- <br /> Send Referral to v Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 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 /> ompaint Reviewed by: ate: pate y: ,f— ate: <br /> 5104.rpt <br />