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12nr Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000045936 Site Location: 2824 FARMINGTON RD STE A Account ID. AR0005480 <br /> Receivedby: EE0000012 MARTORELLA Received Date: 3/8/2018 Print Date: 3/8/2018 3:07:01PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 3/8/2018 <br /> Proaram/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> FIRE AT LOCATION.UNKNOWN IF SUPPRESSANT SYSTEM ACTIVATED. <br /> Complaint Mode: A 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-Intemet/Email S-Sherifrs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002077-HMONC STOCKTON MARKET Owner: OW0003922-YANG,DOUA <br /> Site Location 2824 FARMINGTON RD STE A RPiDBA HMONG STOCKTON MARKET <br /> STOCKTON,CA 95205 RP Address 2620 PLAYA DEL SOL AVE <br /> Cross Street MARIPOSA RD STOCKTON,CA 95206 <br /> Mailing Address: 2824 FARMINGTON RD STE A Billing Address 2620 PLAYA DEL SOL AVE <br /> STOCKTON,CA 95205 STOCKTON,CA 95206 <br /> Home Phone :209-942-3158 <br /> Phone :209-467-4106 Work Phone :209-423-8005 EXT: CELL <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 17306036 <br /> Date Abated 9'Z/eco Inspector ID#: "nh <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> ReferralAddress Date: <br /> Complaint Status Code: 01 1 <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 Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-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 /> ompamt Reviewed by: 41 q Date: Updated by: ate: // <br /> l 3 <br /> 5104.rpt <br />