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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000019901 Site Location: 3201 W BENJAMIN HOLT DR STE 9 Account 10: AR0001793 <br /> Received by: EE0009157 BARCELLOS Received Date: 1012812003 Print Date: 10/28/2003 4:26:52PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 10/28/2003 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: :EX-EMPLOYEE Nome Phone <br /> Address Work Phone <br /> Nature of complaint: <br /> BUGS AND WORMS IN DOUGH ROOM AND BATHROOMS ARE DIRTY <br /> Complaint Mode, P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Cade Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------------------------------------------------- <br /> FACILITY <br /> ---- -------- -- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA000.1793-PARADISE PIZZA Owner: OW0000119-H&H PIZZA,INC <br /> Site Location 3201 W BENJAMIN HOLT DR STE 91 RPIDBA PARADISE PIZZA <br /> STOCKTON,CA 95219 RP Address 31 E SIXTH ST <br /> TRACY,CA 95376 <br /> Mailing Address: 3201 W BENJAMIN HOLT DR STE 491 Billing Address 31 E SIXTH ST <br /> STOCKTON,CA 95219 TRACY,CA 95376 <br /> Nome Phone <br /> Phone :209-832-8030 Work Phone <br /> District : Location Code 01 -STOCKTON <br /> APN 10017009 <br /> Date Abated 10- Inspector: D <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Stags Code: 0 <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-NAI 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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> I <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> i <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54- AD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 9 y <br /> �o <br /> 5104.rpt <br />