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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050048 Site Location: 2132 MARIPOSA RD Account ID: AR0036132 <br /> Received by: EE0001788 CASTANEDA Received Date: 7/2/2019 Print Date: 7/2/2019 1:23:151'M <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 7/2/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of com faint: <br /> COMPLAINANT SAYS FACILITY IS INFESTED WITH LARGE RATS INSIDE AND OUT. NEAR DUMPSTER OUTSIDE AND ALSO IN STORE. BITE <br /> MARKS IN MANY OF THE CHIP BAGS&SNACKS. <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:FA0020233-USA#68222 RP DBA <br /> Site Location 2132 MARIPOSA RD RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street FARMINGTON <br /> Mailing address 1040 N BENSON AVE RP contact <br /> UPLAND,CA 91786 RP contact phone <br /> Phone 209-946-9282 <br /> Owner: OW0020380-NMSO INC <br /> DBA <br /> Owner address 1040 N BENSON AVE <br /> UPLAND,CA 91786 <br /> Billing Address 1040 N BENSON AVE <br /> UPLAND,CA 91786 <br /> Home Phone 818-577-2663 <br /> Work Phone 909-394-4728 <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN 17306035/ <br /> Date Abated �/ 1�`R Inspector ID#: <br /> Send Referral to I r Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:U V <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 /> 0-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 /> omp aint Reviewed by: I ate: pdate y: <br /> IT\ <br /> L <br /> 5104.rpt <br />