Laserfiche WebLink
Report Complaint Investigation Form #:5104 <br /> P 9 <br /> COMPLAINT ID: C00051936 Site Location: 1616 E HAMMER LN Account ID AR0001704 <br /> Received by: EE0001788 CASTANEDA Received Date: 5/11/2020 Print Date: 5/11/2020 3:14:10PM <br /> Assigned To: EE0007380 SHIH Assigned Date: 5/11/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT PURCHASED ROTISSERIE CHICKEN TODAY AND ALSO ONE TEN DAYS AGO. FOUND TAPEWORMS UNDER CHICKEN SKIN <br /> BOTH TIMES. COMPLAINANT BELIEVES OTHER MEAT PRODUCTS WILL BE CONTAMINATED. COMPLAINANT BELIEVES CHICKEN SHOULD <br /> BE RECALLED IMMEDIATELY FROM VARIOUS COSTCO LOCATIONS. <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 /> I-Internet/Email S-Sheriffs Office <br /> ---------------------------------------------- - --- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0001705-Costco Wholesale#38 RP DBA <br /> Site Location 1616 E Hammer Ln RP mailing address <br /> Stockton,CA 95210 <br /> Cross Street WEST LN <br /> Mailing address Costco Licensing,P.O.Box 35005 RP contact <br /> Seattle,WA 98124--340 RP contact phone <br /> Phone 209-478-2040 EXT: <br /> Owner: OW0001336-Costco Wholesale Corporation <br /> DBA <br /> Owner address 999 LAKE DR <br /> ISSAQUAH,WA 98027 <br /> Billing Address 999 Lake Drive <br /> Issaquah,WA 98027 <br /> Home Phone 425-313-8156 <br /> Work Phone 425-313-8100 EXT: <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 09428011 <br /> Date Abated /L Inspector ID#: die75fill L <br /> ------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: a <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 /> (6-3111 nable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 0-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 /> all A <br /> omp aint Reviewed by: ate: pated by: a <br /> 5104.rpt <br />