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r^ Nom- Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00044421 Site Location: 520 CAROLYN WESTON BLVD STE E Account ID: AR0023586 <br /> Received by: EE0000025 SEDRA Received Date: 9/19/2017 Print Date: 9/19/2017 4:31:52PM <br /> Assigned To: EE0001420 NISSIM Assigned Date: 9/19/2017 <br /> Procram/Element Code.1600-FOOD PROGRAM <br /> Complainant: : KATHY RUFINO Home Phone : 209-612-9519 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES ON 8/14/2017 AT APPROXIMATELY 5:30 PM COMPLAINANT WAS AT FACILITY AND ORDERED THE CHICKEN STRIP <br /> FAMILY PACK TO GO.AS THE COMPLAINANT WAS WATCHING ORDERS BEING PREPARED THEY OBSERVED AN EMPLOYEE HANDLING <br /> MONEY THEN HANDLING FOOD WITHOUT WASHING THEIR HANDS.COMPLAINANTALSO STATED THE FRENCH FRIES WERE COLD, <br /> PLEASE CALL COMPLAINANT WITH FINDINGS. <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-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0013954-WINGSTOP Owner: OW0022629-KHAN,JASON <br /> Site Location 520 CAROLYN WESTON BLVD STE A RPiDBA WINGSTOP <br /> STOCKTON,CA 95206 RP Address 8556 WATERWELL WAY <br /> Cmss Street MANTHEY TRACY,CA 95304 <br /> Mailing Address: 1625 E SHAW AVE#122 Billing Address 1625 E SHAW AVE#122 <br /> FRESNO,CA 93710 FRESNO,CA 93710 <br /> Home Phone :209-602-4512 <br /> Phone :209-983-9434 Work Phone <br /> DisMct 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 16422011 <br /> Date Abated G_ Inspector ID#: ���� (7, S <br /> Send Referral to 1 Referral Letter Sent by <br /> Refena/Address �/� Date: <br /> Complaint Status Code: (' 7) <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form St-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompalnt Reviewed b Uate: Updated by: ate: <br /> G / 5 <br /> 5104.rpt <br />