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nevem �- Complaint Investigation Form Report*5104 <br /> COMPLAINT ID:' C00043910 Site Location: 140 E. HARDING WAY Account 1D: AR0001468 <br /> Receivedby: EE0000025 SEDRA Received Date: 7/31/2017 Print Date: 7/31/2017 1:09:01PM <br /> Assigned7o: EE0008999 HUYNH Assigned Date: 7/31/2017 <br /> Proarom/Element Code:1600-FOOD PROGRAM <br /> Complainant: :EMILY SALINAS Home Phone : 909-539-8927 <br /> Address Work Phone <br /> -Mafl Address <br /> Nature of complaint: <br /> FOUND COOKED WORMS IN RICE.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 I Email S-Shedfrs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0001469-GONGS RESTAURANT Owner: OW 0001146-LEI,PAUL <br /> Site Location 140 E HARDING WAY RFIDBA GONGS RESTAURANT <br /> STOCKTON,CA 95204 RPAddress 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 :209-464-0953 Work Phone :209-952-2583 <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 13902015 <br /> Date Abated y Inspector ID If: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0Cc <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -Field Response-Violations Cited and Corrected 26-Alleged FBI-No Major Molations 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 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 Program Enforcement Action Form <br /> ompainl Reviewed by: ate: I Updatedy: Qu Uat 12-5 /7 <br /> 51N rpt o <br />