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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00045066 Site Location: 678 N WILSON WAY Account ID. <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 7/2/1991 Print Date: 2/15/2018 9:12:20AM <br /> Assigned To: EE0000753 NO Assigned Date: 11/8/2017 <br /> P14gram/Element Code.1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"ON 6/29/91 AT 4:30PM PURCHASED AND ATE TWO SANDWICHES. 1 TURKEY AND 1 MEATBALL.AT <br /> 6:30PM STARTED WITH NAUSEA.SEVERE HEARTBURN,VOMITING,DIARRHEA AND TOOK TWO DAYS TO GET OUT OF SYSTEM.ONLY <br /> OTHER FOOD THAT DAY WAS CEREAL IN THE EARLY MORNING'ORIGINAL COMPLAINT#911006 ON 7/2/91. (GIVEN ENVISION COMPLAINT <br /> NUMBER TO HAVE IN DATA BASE FOR FUTURE REFERENCE). <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Conespondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> --------- -- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SUBWAY <br /> Site Location 678N WILSON RP/DBA SUBWAY <br /> STOCKTON,CA 95205 RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14129005 <br /> Date Abated -7 A-1 l Inspector ID#: G-1 <br /> Send Referral to <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ` <br /> Circle appropriate Status Code <br /> 01 Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 2-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Referred 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 /> Date: p aced by: ate' <br /> omp amt Reviewed y: -�-��•IC6 <br /> 5104.rp1 <br />