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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00044257 Site Location: 4555 N PERSHING AVE Account lD: : <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 2/23/1993 Print Date: 9/122017 9:34:41AM <br /> Assigned7c: EE0000753 NG Assigned Date: 9/122017 <br /> ProaramlElement Cod 11600-FOOD PROGRAM <br /> Complainant: :LINDA Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"ROACHES WERE SEEN IN FACILITY ON 2/20/93"ORIGINAL COMPLAINT#930275 ON 2/23/93. <br /> (GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATA BASE FOR 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/Conespondence O-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> - - - -- ----- --------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:STOCKTON ROCKS SPORTS CAFE <br /> Site Location 4555 N PERSHING RP/DBA STOCKTON ROCKS SPORTS CAFE <br /> STOCKTON,CA 95207 RP Address <br /> Cress Street <br /> Billing Address <br /> Home Phone - <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date Abated ;`14} � Inspector ID#: k, 'f1 <br /> Send Referral to <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 1 <br /> Circle appropriate Status Code <br /> V01 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-Refferied to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verity 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 It 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 /> (v?S-1, r11 i 1 111 <br /> omPaint Reviewed by: I APJ Date: l-L-\,� Pat y: 10a(!.� l✓ I1 I <br /> 5104.rp1 1 <br />