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g I Report*5104 <br /> Complaint Investigation Form J .i A <br /> COMPLAINT ID: C00015399 Site Location: 3201 W BENJAMIN HOLT DR 18', Account ID: AR0011041 <br /> Received by: EE0000099 Frost Received Date: 1/17/2001 i" <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 1117101 <br /> .I. <br /> Pro-gram/Element Code: 1619-RETAIL MKT X1000 SQ FT(MULTIPLE DEPTS) <br /> I <br /> Complainant: <br /> <br /> I 14. <br /> Nature of complaint: o �° <br /> 01-17-01 ABOUT 4:15 PM PURCHASED A BLUEBERRY BUNDT CAKE ATE A PIECE AND FOUND&BLACK ROCK INSIDE CAKE. <br /> i <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: FA0007365-MARINA MARKETPLACE Owner: OW0006074-TOY ENTERPRISES INC <br /> RP/DBA: MARINA MARKETPLACE <br /> Site Location: 3201 W BENJAMIN HOLT DR 185 q i <br /> RP Address: 3201 i W BI=N HOLT DR STE 185 <br /> STOCKTON,CA 95219 <br /> STOCKTON,CA 95219 <br /> Mailing Address: 3201 W BEN HOLT DR STE 185 I <br /> STOCKTON,CA 95219 Billing Address:: 3201 W BEN HOLT DR STE 185 <br /> STOCKTON,CA 95219 <br /> Phone: 1st: 209-955-0380 Phone: Hm: 209-823-3523 <br /> Wk: 209-955-0380 <br /> I. <br /> District 002-MARENCO, DARIO Location Code 01 -STOCKTON <br /> APN <br /> i <br /> Date Abated <br /> Inspector I <br /> Send Referral to: <br /> Referral Address: <br /> I , <br /> Referral Letter Sent by: � <br /> Date: I <br /> j <br /> Complaint Status Coder i <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- NAI Sent 16- Letter Sent To Tenant ? <br /> 04- Notice To Abate Issued 17- 15-Day Letter Sent <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 1 Unable To Verify 51 -Lead Hazard Work Plan Subm itted(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 M <br /> 13-Enforcement Case-Transferred To SOLID WASTE Fife 57- Lead Hazard Property Vacant WlSoiI Contamination <br /> 14-Enforcement Case-Transferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> i <br /> i <br /> �I <br /> 0104.rpt y l" <br />