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1 vN Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00042788 Site Location: 5000 S AIRPORT WAY Account ID: AR0004449 <br /> Reosivedby: EE0000025 SEDRA Received Date: 1/11/2017 Print Date. 1/11/2017 4:57:31PM <br /> Assigned7o: EE0008999 HUYNH Assigned Date: 1/11/2017 <br /> ProoramrE/ ment Code:1600-FOOD PROGRAM <br /> Complainant: : HARRY MABROGENES Home Phone <br /> Address Work Phone 209-4684709 <br /> -Mail Address <br /> Nature of complaint: <br /> ALLEGEDLY THE KITCHEN IS DIRTY AND FOOD IS LEFT OUT.DUMPSTERS WERE TAKEN AWAY AND NOT REPLACED. PLEASE CALL <br /> COMPLAINANT WITH FINDINGS. <br /> Complaint Made: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fa <br /> E-Code Enforcement WMail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheaf's Office <br /> ----- - ---- ------------------------------------- - - <br /> PROPERTY <br /> —_ _ -- _— —_-- —___— _--__— — -----_- - - <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002748-TOP FLIGHT GRILL&CATERING Owner: OW0005077-HOGAN,RICHARD 1 <br /> Site Location 5000 S AIRPORT WAY RPrOBA <br /> STOCKTON,CA 95206 RP Address 1691 FREWERT RD SPC 4 <br /> Cross Street AIRPORT LATHROP,CA 95330-978 <br /> Mailing Address: 5000 S AIRPORT WAY Billing Address 1691FREWERTRD SPC4 <br /> STOCKTON,CA 95206 LATHROP,CA 95330-978 <br /> Home Phone :702-321-6115 <br /> Phone :209-944-7780 Work Phone :702.321-6115 <br /> Distort 001-VR.LAPUDUA,CARLOS Location Code <br /> APN 17726034 <br /> Date Abated ` ,'�/ I'}— Inspector ID#: Vi',d`:J(tet h <br /> ------------------ -----_--- ---- --- - ------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0 1 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Referred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE It <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by, ate: Updated by: ate' <br /> aan <br /> 5I04.mI <br />