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u ` ^ Complaint Investigation Form Report#:5104 <br /> ( 6MPLAINT ID: C00020463 Site Location: 3201 W BENJAMIN HOLT DR STE 9 Account ID: AR0001793 <br /> Received by: EE0090753 MARTINEZ <br /> Received Date: 3/5/2004 Print Date: 3/5/2004 4:28:48PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 3/5/2004 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> Nature of complaint: <br /> THERE IS WORM/WE�SL�S IN THE DOUGH. IF YOU PULL THE DOUGH TABLE OUT THEY ARE EVERYWHERE, EVEN TERMITES ARE THERE. <br /> wwUl f-€ <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O.Other EH Unit P-Phone <br /> --------- -- --- ----------FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FAOOOI793-PARADISE PIZZA Owner: OW0000119-H&H PIZZA,INC <br /> Site Location 3201 W BENJAMIN HOLT DR STE 91 RP/DBA 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#91 Billing Address 31 E SIXTH ST <br /> STOCKTON,CA 95219 TRACY,CA 95376 <br /> Home Phone <br /> Phone :209-832-8030 Work Phone <br /> District 002-MARENCO,DARIO Location Code O1 -STOCKTON <br /> APN 10017009 {�r, i <br /> Date Abated G Inspector �� 047 <br /> `�'7 j <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status 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 i <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 /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE Flt 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE O/�— 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 5104.rpt <br />