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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051285 Site Location: 2358 WATERLOO RD Account ID: <br /> Received by: EE0009832 ACEVEDO Received Date: 11/27/2019 Print Date: 11/27/2019 1:24:09PM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 11/27/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> OPERATING WITHOUT PERMIT.BROWN WATER FROM THE 3 COMPARTMENT SINK. <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-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- -- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 2358 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street SIERRA <br /> Mailing address RPcontact <br /> RP contact phone <br /> Phone <br /> Property Owner:NGUYEN,DUY THAI JOHN N <br /> DBA ALPHA FAST GAS <br /> Owner address <br /> Billing Address 2538 WATERLOO RD <br /> STOCKTON,CA 95205 <br /> Home Phone <br /> Work Phone <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 99-UNINCORPORATED AREA <br /> APN 141182221 / <br /> Date Abated `t I''��/ Inspector ID#: <br /> -------- 111---!!! -----P------------- — — - - <br /> Send Referral to 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 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp amt Reviewed by: 1 ` ate: Updated by: Uat I <br /> 5104.rp1 <br />