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0 <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00031715 Site Location: 4105 N WILSON WAY Account ID: AR0034956 <br /> Received by: EE0007541 FIELD Received Date: 311512010 Print Date: 12/9/2010 8:48:24AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 3/15/2010 <br /> Proaram/Element Code:1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone : <br /> Address Work Phone ; <br /> E-MailAddress <br /> Nature of complaint. <br /> (C)STATED THAT HE HAS GONE TO FACILITY&PURCHASED HOT DOGS THREE TIMES,AND EACH TIME THEY WERE COLD. THE LAST <br /> TIME THE HOT DOG WAS PARTIALLY FROZEN, <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 f Correspondence O-Other EH Unit P-Phone <br /> I-Intemet I Email S-Sheriffs Office <br /> ——— ————————— — <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0019628-NEW STOCKTON 99 SPEEDWAY Owner: OW0016091 -NOCETt GROUP INC <br /> Site Location 4105 N WILSON WAY RP,DBA <br /> STOCKTON,CA 95205 RP Address PO BOX 340 <br /> Cross Street FRENCH CAMP,CA 95231 <br /> Mailing Address: PO BOX 340 Billing Address PO BOX 340 <br /> FRENCH CAMP,CA 95231 FRENCH CAMP,CA 95231 <br /> Home Phone :209-466-9999 <br /> Phone :209466-9999 Work Phone :209-482-6969 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 13202014 <br /> Date Abated ��I�3/ Inspector. U-3 <br /> v-----a -- ---- ————— ------ -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-Seo Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 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 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-FOODSORNE ILLNESS-Major Violations Identified <br /> 5104.rpt <br />