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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00043804 Site Location: 140 E. HARDING WAY Account ID: AR0001468 <br /> Receivedby: EE0000025 SEDRA Received Date: 7/13/2017 Print Date: 7/132017 1:24:54PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 7/13/2017 <br /> ProgrgrorFloment C-2drJ600-FOOD PROGRAM <br /> <br /> <br /> <br /> <br /> <br /> Nature of com taint: <br /> or <br /> omINACAN ELLOPENEGES AND PEACHES HADKIMATELY NO TASTETTHERE WERE A LOTO WEEKS AGO, OOFFI ESNTAND N FACILITYUSPOUSE GOT SICK WITH VOM SE ATE AT RESTAURANT AND T NG.S <br /> Complaint Mode: p Complaint Motle Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemel/Email S-Sheriffs Office <br /> -------------------------------------- <br /> PROPERTY INFORMATION <br /> OWNER INFORMATION <br /> Facility:FA0001469-GONGS RESTAURANT Owner: OWOOO 1146-LEI,PAUL <br /> Site Location 140 E HARDING WAY RP/DBA GONGS RESTAURANT <br /> STOCKTON,CA 95204 RPAddress 5207 BARBADOS CT <br /> Cross Street HARDING STOCKTON,CA 95210 <br /> Mailing Address: 140 E HARDING WAY Billing Address 5207 BARBADOS Cr <br /> STOCKTON,CA 95204 STOCKTON,CA 95210 <br /> Home Phone <br /> Phone :209-464-0953 Work Phone 209-952-25113 <br /> District <br /> - - <br /> Distdct 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 13902015 <br /> Date Abated --rnQ l(ā€”Jā€” Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Date: <br /> Referral Address <br /> complaint Status Code: 2c(' <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-Refferred to Other Agency <br /> 08-Unable to Verity Alleged Complaint PD-Permit <br /> t Issued-Pending <br /> Status <br /> PD-Permit issued-Pentling 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 Program Enforcement Aden Form <br /> ZI z2 <br /> ate. <br /> omp aint ewewe y: ate: p ate '- <br /> 5104.rpt <br />