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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00047077 Site Location: 530 W LODI AVE Account ID: <br /> Received by: EE0000025 SEDRA Received Date: 9/24/1 <br /> <br /> <br /> <br /> Address : 1320 W PARK Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> ON 9/24/91 AT 6:30 AM SPOKE TO CAROLYN MEDELIN ABOUT HAMS IN A PORTABLE CHEST FREEZER.HAMS WERE AT ROOM <br /> TEMPERATURE,NOT REFRIGERATED.ASKED CAROL IF HAMS WOULD BE REFRIGERATED AND SOLD,SHE SAID YES.COMPLAINANT HAD <br /> PURCHASED ONE PREVIOUSLY AND IT WAS BAD. <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 PROPERTY OWNER INFORMATION <br /> Property Name:LUCKYS#301 Responsible Party or Property Owner:MIKE LIQUERA(MANAGER) <br /> Site Location 530 W LODI RP/DBA LUCKYS#301 <br /> LODI,CA 95240 RP Address <br /> Cross Street HUTCHINS <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 03319037 <br /> Date Abated (;i _ _ J Inspector ID#: <br /> Send Referral to / Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:C <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency /9,9--UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaint Reviewed by: ate Updated y: — -; ;1 _ at? <br /> 5104.rpt <br />