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ee <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000030017 Site Location: 1691 W FREWERT RD Account ID: AR0007758 <br /> Receivedby: EE0003611 GIRARDI Received Date: 3/27/2009 Print Date: 3/27/2009 3:54:03PM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 3/27/2009 <br /> ProoranVElement Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> Nature of complaint. <br /> (C)STATED WATER FROM BAR DISPENSER TASTED WEIRD,AND HE BECAME ILL THE NEXT DAY, <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> —------------------------------ <br /> FACILITY <br /> --- -------- -- .----------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000298-HAVEN ACRES MARINA Owner: 0 00507-ESCOBAR,STEVE <br /> Site Location 1691 W FREWERT RD RP/DBA HAVEN ACRES MARINA <br /> LATHROP,CA 95330 RPAddress <br /> <br /> <br /> <br /> <br /> <br /> District 003-MOW,VICTOR Location Code 99-UNINCORPORATED AREA <br /> APN 19127012 <br /> ———Date Abated 3JO -C-) Inspector; <br /> ------------------------------ <br /> ----- ------- ------ ----- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder 6 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> OB EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 51 _rpt <br />