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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00044284 Site Location: 4555 N PERSHING AVE Account ID: <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 2/22/1993 Print Date: 9/12/2017 4:20:24PM <br /> Assigned To: EE0000753 NG Assigned Date: 9/12/2017 <br /> EmaremrElement Code:1600-FOOD PROGRAM <br /> Complainant: :ROSIE VARGAS Home Phone : 209-468-3424 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"LADIES RESTROOM VERY DIRTY WITH PLUGGED TOILETS.STALLS HAD TOILET TISSUE ALL <br /> OVER THE FLOOR"ORIGINAL COMPLAI NT#930274 ON 2/22/93.(GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATA BASE FOR <br /> FUTURE REFERENCE) <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 /> Hirtemet/Email S-Sheriffs Office <br /> ---------------------- ----------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:CHUCK E CHEESE <br /> Site Location 4555 N PERSHING RPIDBA CHUCK E CHEESE <br /> STOCKTON,CA 95207 RPAddrass 4555 N PERSHING AVE <br /> Crass Street STOCKTON,CA 95207 <br /> Billing Address 4555 N PERSHING AVE <br /> Home Phone <br /> Phone : Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date Abated a,•'.%- -q3 Inspector ID#: N� <br /> ————————————————————————————————————————————————— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: V <br /> Circle appropriate Status Code <br /> 00 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-Referred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitonng 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 Si-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 /> omp amt Reviewedy' ate: �•'I, Uptlatetl by: 1 I/\ /D, 1121 2 (--�hc) <br /> 5104,rpt <br />