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ys,1 AJ— Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043458 Site Location: 2866 W MARCH LN Account ID: AR0029544 <br /> Receivedby: EE0000467 CARRUESCO Received Date: 5/12/2017 Pdnt Date: 5/12/201710:32:21AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 5/12/2017 <br /> EB29-Mm ment Code:1600-FOOD PROGRAM <br /> Complainant: :PERRY HALL Home Phone 702-756-5329 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> CUIPE <br /> STOMER ORDERED A CARAMEL DRINK AND THE CREAM APPEARED CURDLED.WHEN CUSTOMER ASKED FOR A NAPKIN TO WUP <br /> SPILLAGE,A DIRTY TOWEL FROM BEHIND THE COUNTER WAS GIVEN TO THE CUSTOMER. <br /> Complaint Mode: I Complaint Mode Cotles 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/Email S-Sheriffs Office <br /> -------------- --------------------------------- -- <br /> PROPERTY <br /> ---------- -- _ -----_---_--_—_—_----_-- --- -- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0016672-STARBUCKS COFFEE#8979 Owner. OW0001874-STARBUCKS COFFEE CO <br /> Site Location 2866 W MARCH LN STE B RP/DBA STARBUCKS COFFEE <br /> STOCKTON,CA 95219 RP Address 2401 UTAH SOUTH AVE#800 <br /> Cross Sheet SEATTLE,WA 98134 <br /> Mailing Address: FO 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 Work Phone :206-447-1575 <br /> District 003-BBSTOLARIDES,STEVE Location Code <br /> APN 118020100 <br /> Date Abated J✓ YI <br /> -- I_�1q Inspector lD <br /> ---------------- _--- _-- ---_ <br /> Send Refena/to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0 <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-Re#ened to Other Agency <br /> OB 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 by: 0 l J 0 M. ale: Updated KZT <br /> e:. <br /> 5104.rp1 <br />