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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050510 Site Location: 1658 S AIRPORT WAY Account ID: AR0008544 <br /> Received by: EE0000467 CARRUESCO Received Date: 9/20/2019 Print Date: 9/20/2019 10:29:06AM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 9/20/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT WAS PLACING MY ORDER AND I SAW A COCKROACH RUNNING ACROSS THE COUNTER BY THE FRYER. COMPLAINANT <br /> INFORMED THE OWNER, <br /> Complaint Mode: I 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 /> I-Internet/Email S-Sheriffs Office <br /> ---------------------------------------------- ---- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0006474-WINNERS RP DBA <br /> Site location 1658 S AIRPORT WAY RP mailing address <br /> STOCKTON,CA 95206 <br /> Cross Street CHARTER WAY/DR MARTIN LUTHER KING <br /> Mailing address 1658 S AIRPORT WAY RP contact <br /> STOCKTON,CA 95206 RP contact phone <br /> Phone 209-941-9910 <br /> Owner: OW0006645-NEGRETTE ENTERPRISE <br /> DBA WINNERS <br /> Owner address 124 E WALNUT ST <br /> STOCKTON,CA 95204 <br /> Billing Address 124 E WALNUT ST <br /> STOCKTON,CA 95204 <br /> Home Phone 209-462-1771 <br /> Work Phone 209-607-6005 EXT: CELL <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN 16918007 <br /> Date Abated ll�k/Lc 1 % Inspector ID#: <br /> T^' <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:Qb <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 /> 00 -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 /> ompamt Reviewedby: I�j I ate: pate y: at 1f <br /> 5104.rpt I <br />