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11 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045067 Site Location: 678 N WILSON WAY Account 10: <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 7/30/1991 Print Date: 11/8/2017 2:05:55PM <br /> Assigned To: EE0000753 NG Assigned Date: 11/8/2017 <br /> P1QgramrElement Code,1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"ATE COLD CUT COMBO ON 7/25/91 AND BECAME VERY ILL WITH DIARRHEA,VOMITING ABOUT <br /> 2AM.WORKERS ARE HANDLING MONEY AND THEN FOOD WITHOUT WASHING HANDS"ORIGINAL COMPLAINT#911239 ON 7/30/91.(GIVEN <br /> 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 WMail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sherifrs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:KEVIN-MAIN OFFICE <br /> Site Location 678 N WILSON RPiDBA SUBWAY <br /> STOCKTON,CA 95205 RPAddress <br /> Cress Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone :2ug-466-2433 <br /> District 001 -VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14129005 <br /> Date Abated g.' .q 1 Inspector ID#., N6M <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address c, Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Connected 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 /> 00�Refenred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08 Unable to Verify 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# 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 aint Reviewed b7 ate:^ Updated y: a e' <br /> 75-17 <br /> s104.rp1 <br />