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OES REFERRAL FOR NONCOMPLIANCE Specialist Initials: P Date: l Z <br /> (Attach to Copy of Complianc*dule) <br /> Asst Coor Initials: Date: <br /> COMPLAINT JINITIAL HMMP <br /> REASON FOR REFERRAL (Brief description of violation and materials and quantities involved) <br /> FAILURE TO SUBMIT PLAN AND INVENTORY. <br /> 400 POUND, BULK,CARBON DIOXIDE TANK. <br /> BUSINESS INFORMATION <br /> BUSINESS NAME DENNY'S RESTAURANT PHONE 209-937-0665 <br /> SITE ADDRESS 5033 S HWY 99 MAILING ADDRESS ATTN STACEY RESENDIZ/ALEX BELTRAN <br /> STOCKTON, CA 95215 DENNY'S RESTAURANT <br /> 5033 S HWY 99 <br /> STOCKTON CA 95215 <br /> NATURE OF RESTAURANT TYPE OF BUSINESS <br /> BUSINESS <br /> OWNER'S NAME IPINKY BURCH 1 <br /> OWNER'S MAILING 11135 S. MAIN ST. MANTECA CA 95336 <br /> ADDRESS <br /> BUSINESS CONTACT ISTACEY RESENDIZ/ALEX BELTRAN <br /> MAILING ADDRESS <br /> Rev 8/01 <br />