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- Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C0004135 Site Location: 140 E HARDING WAY <br /> Account lD: AR0001468 <br /> Received by: EE0000028 ALI <br /> Received Date: 411512016 Print Date: 4/15/2016 4:56:38PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 411512016 <br /> pmaramrElement 1600-FOOD PROGRAM Home Phone : 209-518-2767 <br /> Complainant: :VICKIE Work Phone <br /> Address <br /> -Mail Address <br /> Nature ofcomplaint: <br /> DEAD COCKROACH IN THE FOOD-NOODLES.SERVER COUGHING ALL OVER THE FOOD.PLEASE CALL COMPLAINANT WITH FINDINGS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral <br /> 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 /> PROPERTY INFORMATION <br /> OWNER INFORMATION <br /> Facility:FA0001469-GONGS RESTAURANT Owner: OW0001146-LEI,PAUL <br /> Site Location 140 E HARDING WAY RP/DBA GONGS RESTAURANT <br /> STOCKTON,CA 95204 RP Address 5207 BARBADOS CT <br /> Cross Street HUNTER STOCKTON,CA 95210 <br /> Mailing Address. 140 E HARDING WAY Billing Address 5207 BARBADOS CT <br /> STOCKTON,CA 95204 STOCKTON,CA 95210 <br /> Home Phone <br /> Phone :209464-0953 Work Phone :209-952-2583 <br /> District 001-VILLAPUDUA,CARLOS Location 01-STOCKTON <br /> APN 13902015 \— <br /> Date Abated 4/W1 Inspector ID#: <br /> — ——————————— —— — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE It <br /> 01 -Fed 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 Reqired-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-ReOerred 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# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omplaint Reviewed Date'. Updated by: <br /> 5104.rpt "7 <br />