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Complaint ln�estigation Form Report#:5104 <br /> COMPLAINT ID: C00032944 Site Location: 2538 WEST LN BLDG B Account ID: AR0001822 <br /> Received by: EE0000321 OLIVEIRA Received Date: 12/6/2010 Print Date: 12/7/2010 9:47:29AM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 12/7/2010 <br /> I <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint. <br /> WOMEN'S RESTROOM FILTHY; NO SOAP OR PAPER TOWELS IN DISPENSERS; LEAKING TOILETS CAUSE FLOORS TO BE WET <br /> CONSTANTLY;TOILETS ARE LOOSE AND WOBBLY;BROKEN HOT WATER FAUCET.CALL(C)BACK AFTER INSPECTION. <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 /> I-Internet!Email S-Sheriffs Office <br /> ———————— ——————— --- <br /> -————— — <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001819-WEST LANE BINGO HALT. Owner: OW0001422-TRANTHAM,TRACY RENE <br /> Site Location 2538 WEST,LN BLDG B RP/DBA WEST LANE BINGO HALL <br /> STOCKTON,CA 95205 RPAddress 1442 PALOMA AVE <br /> Cross Street WEST STOCKTON,CA 95209 <br /> Mailing Address: 1442 PALOMA AVE Billing Address 1442 PALOMA AVE <br /> STOCKTON,CA 95209 STOCKTON,CA 95209 <br /> Nome Phone :209-607-6978 EXT: CELL <br /> Phone :209-957-0046 Work Phone :209-957-0046 <br /> District 002-RUHSTALLER,LARRY Location Code 01-STOCKTON <br /> I APN 11736021 n� <br /> Date Abated v� l�V Inspector. <br /> T <br /> Send Referral to Referral Letter Sent by <br /> i <br /> Referral Address Date: <br /> I <br /> i <br /> Complaint Status Code: <br /> 00 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Farm <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> f 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> I <br /> i <br /> 5104 rpt <br /> I <br /> f <br />