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Complaint Investigation Form Report#:5104 <br /> ' COMPLAINT ID: C00051719 Site Location: 2628 W MARCH LN Account ID: AR0002019 <br /> Received by: EE0000014 MORENO Received Date: 3/6/2020 Print Date: 3/6/2020 2:31:28PM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 3/6/2020 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of com laint: <br /> COMPLAINANT ORDERED CHICKEN SANDWICHES,AND WAS SERVED RAW PINK CHICKEN.COMPLAINANT HAS PICTURES OF THE RAW <br /> CHICKEN. <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/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> -------------------------------------------- - - --- -- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002011-CHICK-FILA MARCH LN AT 1-5 RP DBA <br /> Site Location 2628 W MARCH Ln RP mailing address <br /> STOCKTON,CA 95207 <br /> Cross Street 1-5 <br /> Mailing address 2628 MARCH LIN RP contact <br /> STOCKTON,CA 95207 RP contact phone <br /> Phone 209-477-5936 EXT: <br /> Owner: OW0001577-FARAGE FAMILY COMPANY LLC <br /> DBA CHICK-FIL-A MARCH LN AT 15 <br /> Owner address 2628 W MARCH LN <br /> STOCKTON,CA 95207 <br /> Billing Address 2628 MARCH LIN <br /> STOCKTON,CA 95207 <br /> Home Phone 925-978-6522 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 11002004 <br /> Date Abated 13- 1 Inspector ID#: -F I D h r- j J-141'x' Z <br /> -------------------------------------------------- -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ej <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 /> 8t 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: 4ate: DaP2 <br /> 5104.rpt <br />