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Complaint Investigation Form Report#:5104 <br /> COMPLAINT IC: C00045054 Site Location: 8023 N WEST LANE Account ID: <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 6/28/1991 Print Date: 11/8/2017 11:38:21AM <br /> Assigned To: EE0000753 NG Assigned Date: 11/8/2017 <br /> Programgkmgat Code:1600-FOOD PROGRAM <br /> Complainant: :STOCKTON FIRE DEPT(BABB) Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"FIRE AT BURGER KING'ORIGINAL COMPLAINT#910991 ON 6/28/91.(GIVEN ENVISION COMPLAINT <br /> NUMBER TO HAVE IN DATABASE 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/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> _—_ --_ -- -----------------------------PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:COLLINS CAMERON <br /> Site Location 8023 N WEST RP/DBA BURGER KING <br /> STOCKTON,CA 95210 RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone :209-952-6595 <br /> Phone Work Phone : <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 08818007 fi <br /> Date Abated b, LSD �) Inspector lD#: 069 <br /> -------------------- <br /> Send Referral toReferral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 001- ield 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-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verity Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 t0 public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp aint Reviewedy: ate:1 )�, 1 Updated by: at <br /> 5104.rpt L o <br />