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Complaint Investigation Form Report#:5104 <br /> COMPLAINT'ID: C00053449 Site Location: 616 W HAMMER LN STE G Account ID: AR0027864 <br /> Received by: EE0003361 FLOHRSCHUTZ Received Date: 2/17/2021 Print Date: 2/17/2021 4:17:4211M <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 2/17/2021 <br /> Program/Ele <br /> ant: VICTORIA JUAREZ <br /> Home Phone 209-403-3136 <br /> E-Mail Address <br /> Nature of com /aint: <br /> FACILITY OWNER LEFT VOICE MESSAGE STATING;MARIBEL,THIS IS VICTORIA FROM VICTORIA'S TAQUIZAS,OUR KITCHEN BURNED <br /> AND WE LOST EVERYTHING. OUR RESTAURANT IS PERMANENTLY CLOSED AND WE WILL MOVE TO ANOTHER LOCATION. <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 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriff's Office <br /> ------- - --------------------------------- - --- - - - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0015976-VICTORIAS TAQUIZAS RP DBA <br /> Site location 616 W HAMMER LN STE G RP mailing address <br /> STOCKTON,CA 95210 <br /> Cross Street SAN CARLOS <br /> Mailing address 1770 W LONGVIEW AVE RP contact <br /> STOCKTON,CA 95207 RP contact phone <br /> Phone 209-476-8800 <br /> Owner: OW0012900-JUAREZ,VICTORIA <br /> DBA VICTORIAS TAQUIZAS <br /> Owner address 1770 W LONGVIEW AVE <br /> STOCKTON,CA 95207 <br /> Billing Address 1770 W LONGVIEW AVE <br /> STOCKTON,CA 95207 <br /> Home Phone 209-403-3136 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 08150023 <br /> Date Abated _f O 2 / Inspector ID#: P /CIA r C A -z- <br /> ------------------------------------------------- --- - - <br /> Send <br /> Send Referral to G Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> /D81 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 amt Reviewed by: Date, <br /> pate y: ate: 2 <br /> 5104.rpt <br />