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V Complaint Investigation Form Report#:5104 <br /> 61 MPLAINT ID: C00020465 Site Location: 2211 N WILSON WAY AccountlD. AR0001526 <br /> Recelvedby: EE0090753 MARTINEZ Received Date: 3/5/2004 Print Date: 3/5/2004 4:28:48PM <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 3/5/2004 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: :ANON Nome Phone <br /> s <br /> Address Work Phone <br /> Nature of complaint. <br /> FME7 LADY HAD SMALL DOG IN HER RWSE&THEN THE DOG FED FROM HER PLATE. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> ---------------------------------- - ------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001527-FAR EAST CAFE Owner: OW0001191 -CHEUNG KAU YEN&SAU SHEUNG SH <br /> Site Location 2211 N WILSON WAY RP/DBA FAR EAST CAFE <br /> STOCKTON,CA 95205 RP Address 5846 ST THOMAS CT <br /> STOCKTON,CA 95210 <br /> Mailing Address: 2211 N WILSON WAY Billing Address 5846 ST THOMAS CT <br /> STOCKTON,CA 95205 STOCKTON,CA 95210 <br /> Home Phone <br /> Phone :209-463-4478 Work Phone <br /> District : Location Code 01 -STOCKTON <br /> APN <br /> Date Abated g O Inspector.' 3OZ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE r <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> f <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EMD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed i <br /> 08 UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) i <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 09*4 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> I <br /> 5104.rpt <br />