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x„ <br /> =E Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032453 Site Location: 2211 N WILSON WAY AccountlD: AR0001526 <br /> Receivedby.• EE0007541 FIELD Received Date: 8/10/2010 Print Date: 8/10/2010 4:39:OOPM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 8/10/2010 <br /> Procram/Efement Code:1600-FOOD PROGRAM <br /> Complainant: :TINA Nome Phone 209-898-4222 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint., <br /> ON 819110,(C)WAS AT FACILITY AND OBSERVED THE KITCHEN TO BE FILTHY AND RAW MEAT BEING STORED IN BUCKETS. <br /> Complaint Mode., P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax j <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet 1 Email S-Sheriffs Office <br /> ------- <br /> ------------------------------------------ <br /> FACILITY <br /> -- ---- --- -- -------- -------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001527-FAR EAST CAFE Owner: OW0001191 -LEI,ZHEN ZHU <br /> Site Location 2211 N WILSON WAY RP/DBA FAR EAST CAFE <br /> STOCKTON,CA 95205 RPAddress 6815 KERMIT LN <br /> Cross Street WILSON STOCKTON,CA 95207 <br /> Marling Address: 2211 N WILSON WAY Billing Address 6815 KERMIT LN <br /> STOCKTON,CA 95205 STOCKTON,CA 95207 <br /> Nome Phone :209.477-5766 <br /> Phone :209-4634478 Work Phone :209-463-4478 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 11707050 <br /> Date Abated <! lel l o Inspector: <br /> ----- - ---- ------------------------------------ ------- - <br /> Send <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 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04 OTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06- D FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> d <br /> 510 _rpt y <br />