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AIV <br />Complaint Investigation Form Report#:5104 <br />COMPLAINT ID: C00047474 Site Location: 255 W MARCH LN - <br />Received by: EE0000014 MORENO <br />Assigned To: EE0078788 FAHMY <br />Program/Element Code 1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Account ID: AR0002000 <br />Print Date: 9/24/2018 2:42:41 PM <br />(FOOD 4 LESS STORE IS REALLY DIRTY. SEEN MICE IN THE BREAK ROOM UP STAIRS, BREAK ROOM IS ALSO INFESTED WITH ROACHES. <br />ROOF IS LEAKING. BATHROOM ARE NEVER CLEANED. <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 / Correspondence O -Other EH Unit P -Phone <br />I -Internet / Email S -Sheriffs Office <br />-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />PROPERTY INFORMATION OWNER INFORMATION <br />Facility: FA0001992 - PAQ Inc DBA Food -4 -Less <br />Site Location 255 E March Ln <br />Stockton, CA 95207 <br />Cross Street ELDORADO <br />Mailing Address: 17935 Murphy Parkway <br />Lathrop, CA 95330 <br />Phone :209-858-0101 EXT: 336 <br />District 002 - MILLER, KATHERINE <br />APN 10213010 <br />Date Abated <br />9"r <br />------------------------------- -----� <br />- ---l <br />Send Referral to <br />Referral Address <br />Complaint Status Code: �, Q <br />Circle appropriate Status Code LCL <br />01 - Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />& Unable to Verify Alleged Complaint <br />x.10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints- SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 -ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />Inspector /D #: <br />Owner: OW0001562 - PAQ Inc. <br />RP/DBA : <br />RPAddress 8014 LOWER SACRAMENTO RD STE I <br />STOCKTON, CA 95210 <br />Billing Address 17935 Murphy Parkway <br />Lathrop, CA 95330 <br />Home Phone ; 209-957-4917 <br />Work Phone <br />Location Code 01- STOCKTON <br />Referral Letter Sent by <br />Date: <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 - Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />omplaint Reviewedy: ,e: p a e y: Date r <br />5104.rpt <br />