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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C000397 ite Location: 29 E MARCH LN Account ID: AR0014724 <br /> Received by EE0005366 MEDINA Received Date. 5/20/2015 Print Date: 5/20/2015 4:32:02PM <br /> Assigned To: EE0009488 WONG Assigned Date: 5/20/2015 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant. <br /> <br /> <br /> Nature of complaint: <br /> A TABLE IS SET UP AT SIDEWALK AND PEOPLE ARE BBQ'ING AND SELLING FOOD ITEMS. <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-Internet/Email S-Sheriffs Office <br /> -- - ---------- - ------ <br /> FACILITY <br /> ------- - ------FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002084-WALGREENS#4343 Owner: OW0001014-Walgreen Co. <br /> Site Location 29 E MARCH LN RP/DBA WALGREENS <br /> STOCKTON,CA 95207 RP Address 200 WILMOT RD <br /> Cross Street EL DORADO DEERFIELD,IL 60015 <br /> Mailing Address. 3207 GREY HAWK CT,STE 200 Billing Address 200 Wilmot Rd. <br /> CARLSBAD,CA 92010 Deerfield,IL 60015 <br /> Home Phone :847-315-3404 <br /> Phone :209-478-0662 Work Phone :847-914-2264 EXT: <br /> District 002-MILLER,KATHERINE. Location Code 01-STOCKTON <br /> APN 1021301 <br /> Date Abated ! Inspector ID#: <br /> Send Referral to Referral Letter Sen y <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <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 /> ompaint eviewe y Ly Date: IF— p ate by: Date <br /> 5104.rp1 <br />