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Complaint Investigation Form <br /> COMPLAINT W: C00025080 Site Location: 4055 N WILSON WAY Report#:5104 <br /> I Received by: EE0006213 PEDRAZA Account ID: ; <br /> Assigned To: EE0006213 PEDRAZA Received Date: 8/25/2006 <br /> Assigned Date: Print Date: $/2g/2006 <br /> Pro 1:58:34PM <br /> ram/Element Code:1600-FOOD <br /> <br /> <br /> <br /> <br /> Nature of com taint: I <br /> I <br /> I MINI MART OPERATING WITHOUT A!IEALTf-1 PERMIT. <br /> Complaint Mode: O Complaint Made Codes <br /> A-Agency Referral B-8d of Supervisors i City Council <br /> _ _ E-Code EnforcementM-Mail/Correspondence O-Other EH Unit C-Counter <br /> PROPERTY INFORMATION ----- ---——————— P-phone <br /> ______ <br /> PROPERTY OWNER INFORMATION~ <br /> Property Name: —— i <br /> Site Location 4055 N WILSON Responsible Party or Property Owner:SURENDER CHOUMAVER <br /> STOCKTON,CA RP/DSA NEW VATAN MINI MART <br /> I <br /> RP Address 4055 N WILSON WAY <br /> STOCKTON,CA 95205 <br /> Billing Address 4055 N WILSON WAY <br /> Phone <br /> Nome Phone :209-941-8888 <br /> � ' <br /> Work Phone <br /> District 002-MARENCO,DARIO Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Date Abatedg Inspector: <br /> --- --------------------------------------------- <br /> Send <br /> -- ------ ------- <br /> Send Referral to Referral Letter Sent by ; <br /> Referral Address Date: <br /> Complaint Status Code: 1 <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-NAE 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 /> 06-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 U1C PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CAST;-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint History <br /> Attached But Not <br /> Scanned <br /> 5104sp1 <br />