Laserfiche WebLink
I <br /> Complaint Investigation Form Report#:51oa <br /> COMPLAINT ID: C00015268 Site Location: 2705 COUNTRY CLUB BLVD 'Account ID: AR0003410 <br /> Receivedby.- EE0000099 Frost Received Date., 12/6/2000 <br /> Assigned To: EE0009157 BARCELLOS Assigned Date: 12/6/00 <br /> Program/Element Code: 1614-FOOD EST>1001 SQ FT W/O SEATING <br /> <br /> <br /> Nature of complaint: I <br /> MOLD WHERE DRINKS ARE, NATS FLYING AROUND, MAIN ICE MAKER HAS BLACK CHUNKS COMING'iOUT. EX EMPLOYEE SAID HE <br /> CONSTANTLY COMPLAINED ABOUT IT. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council! E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION I <br /> Facility: FA0002048-USA GASOLINE#835 Owner: OW0006493-PALISADES GAS&WASH <br /> RP/DBA: USA GASOLINE <br /> Site Location: 2705 COUNTRY CLUB BLVD <br /> RP Address: 30101 AGOURA CT 200 <br /> STOCKTON,CA 95204 <br /> AGOURA HILLS,CA 91301-4311 <br /> Mailing Address: 30101 AGOURA CT,STE 200 <br /> AGOURA HILLS,CA 91301-4311 Billing Address:: 30101 AGOURA CT STE 200 <br /> AGOURA HILLS,CA 91301-4311 <br /> Phone: 1st: 209-465-4756 Phone: Hm: 800-624-5930 <br /> Wk: 209-465-4756 j <br /> District 002-MARENCO, DARIO Location Code 01 -STOCKTON <br /> APN <br /> Date Abated <br /> Inspector <br /> i <br /> Send Referral to: <br /> Referral Address: <br /> 3 <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: j <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case- New Complaint See Active Case# <br /> 03-NAl Sent 16-Letter Sent To Tenant ! f <br /> 04- Notice To Abate Issued 17-15-Day Letter Sent i <br /> 05- Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06- EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07- Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08- Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56- Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 7 <br /> 0104.rpt <br />