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;. Complaint Investigation Form Report#: 5104 <br /> COMM",'T ID: C00040521 Site Location: 140 E HARDING WAY AccountlD. AR0001468 <br /> Received by: EE0000025 SEDRA Received Date: 10/13/2015 Print Date: 10/13/2015 1:04:08PM <br /> Assigned To: EED008999 HUYNH Assigned Date: 10/13/2015 <br /> PPr grrarazd�lement Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of torr laint: <br /> FLIES IN THE RESTAURANT. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001469-GONGS RESTAURANT Owner: OW0001146-LEI,PAUL <br /> Site Location 140 E HARDING WAY PPIDBA GONGS RESTAURANT <br /> STOCKTON,CA 95204 RP Address <br /> <br /> <br /> <br /> Nome Phone <br /> Phone :209-464-0953 Work Phone <br /> District 00 1-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 13902015 <br /> Date Abated 10/ 1 1 Inspector ID#: <br /> i , <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Q <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE"ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> Pa-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDAR DIUNSECU RED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by: Ih C1 is ate: Updated by: ate: <br /> 6104rpt <br /> ►V <br /> f <br />