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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00034591 Site Location: 4855 S HWY 99 E FRONTAGE RD Account ID: AR0031541 <br /> Received by EE0009058 LOWE Received Date: 2/3/2012 Print Date: 2/3/2012 12:00:07PM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 2/3/2012 <br /> Program/Element Code.1600-FOOD PROGRAM <br /> Complainant: ; <br /> <br /> <br /> Nature of complaint., <br /> NON SERVICE DO SIN <br /> FACILITY- <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> [-Internet/Email S-Shenfts Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0017977-STARBUCKS COFFEE#10183 Owner: OW0001874-STARBUCKS COFFEE CO <br /> Site Location 4855 S H WY99 E FRONTAGE RD RP/DBA STARBUCKS COFFEE <br /> STOCKTON,CA 95215 RP Address 2401 UTAH SOUTH AVE#800 <br /> Cross Street SEATTLE,WA 98134 <br /> Mailing Address: PO BOX 34442 S-TAX2 Billing Address PO BOX 34442,S-TAX2 <br /> SEATTLE,WA 98124-1442 SEATTLE,WA 98124 <br /> Home Phone :888-796-5282 <br /> Phone ;209465-4374 Work Phone :206-447-1575 <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> APN 17926001 <br /> Date Abated lInspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O4 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 02-OFFICE ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 03-NAI SENT 52-LEAD Abatement Regired-See Program Record File <br /> G4-NOTICE TO ABATE ISSUED 97-Disaster Planning and Response <br /> 05-DA-ENFORCEMENT ACTION INITIATED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 5104 nt <br />