Laserfiche WebLink
CSA <br /> Complaint Investigation Form Report#:5104 <br /> 19, <br /> COMPLAINT ID: C00050055 Site Location: 3021 REYNOLDS RANCH PKWY Account ID: AR0034531 <br /> Received by: EE0000014 MORENO Received Date: 7/3/2019 Print Date: 7/3/2019 2:48:401'M <br /> Assigned To: EE0078788 FAHMY Assigned Date: 7/3/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> SELLING MOLDY BREAD,HAIR IN FOOD, PLATES SMELL LIKE URINE. PLEASE SEND INSPECTOR AS SOON AS POSSIBLE. COMPLAINANT <br /> WOULD LIKE ACALL BACK AFTER INSPECTION. <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 /> ]-Internet/Email S-Sheriffs Office <br /> --------------------------------------------- ---- - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility: FA0019418-BLUE SHIELD OF CALIFORNIA RP DBA <br /> Site Location 3021 REYNOLDS RANCH PKWY RP mailing address <br /> LODI,CA 95240 <br /> Cross Street HARNEY <br /> Mailing address 3021 REYNOLDS RANCH PKWY RP contact <br /> LODI,CA 95240 RP contact phone <br /> Phone 209-371-3822 EXT: <br /> Owner: OW0015914-BLUE SHIELD OF CALIFORNIA <br /> DBA BLUE SHIELD OF CALIFORNIA <br /> Owner address 4203 TOWN CENTER BLVD <br /> ELDORADO HILLS,CA 95672 <br /> Billing Address 3021 Reynolds Ranch Pkwy <br /> Lodi,CA 95240 <br /> Home Phone 916-350-7794 <br /> Work Phone 209-371-3822 EXT: <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 05865005 <br /> Date Abated0 14 Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:m <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed by: ate: pate y: <br /> 5104.rpt <br />