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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052093 Site Location: 1120 E HAMMER LN Account ID: AR0028556 <br /> Received by: EE0003361 FLOHRSCHUTZ Received Date: 6/18/2020 Print Date: 6/18/2020 3:55:5011M <br /> Assigned To: EE0007380 SHIH Assigned Date: 6/18/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> CUSTOMER BOUGHT LINT MIXED CHOCOLATES ON 06-15-20,ATE 5-6 CANDIES AND HE NOTICED THAT THEY WERE VERY SOFT(MELTY) <br /> TWO HOURS AFTER EATING THE CANDIES HE GOT SYMPTOMS OF FEVER,DIARRHEAAND INTESTINAL PAIN. COMPLAINANT STATES <br /> THAT HE WAS THE ONLY ONE AT HIS HOUSE THAT ATE THE CANDIES AND GOT SICK. <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 <br /> ------------------------------------------------ <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0016311-dd's Discounts#5011 RP DBA <br /> Site Location 1120 E HAMMER LN RP mailing address <br /> STOCKTON,CA 95210 <br /> Cross Street KATHLEEN <br /> Mailing address 5130 Hacienda Dr RP contact <br /> Dublin,CA 94568--757 RP contact phone <br /> Phone 209474-6984 EXT: <br /> Owner: OW0001693-ROSS DRESS FOR LESS,INC <br /> DBA ROSS DRESS FOR LESS#1998 <br /> Owner address 5130 HACIENDA DR B3N6 <br /> DUBLIN,CA 94568--757 <br /> Billing Address 5130 HACIENDA DRIVE <br /> DUBLIN,CA 94568 <br /> Home Phone 925-965-4526 <br /> Work Phone 925-965-4526 EXT: <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 09403043 <br /> Date Abated Iwo Inspector ID#. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code ffff���� `"`���� <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 /> 10POSTED 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 /> /alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> ompamt Reviewed by: „ �: ate: pate y: AA A <br /> i <br /> 5104.rpt <br />