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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052098 Site Location: 1120 E HAMMER LN Account ID: AR0028556 <br /> Received by: EE0000467 CARRUESCO Received Date: 6/18/2020 Print Date: 6/19/2020 8:24:25AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 6/18/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THEY SUFFERED A SEVERE BOUT OF DIARRHEAAFTER EATING LINDT CANDY PURCHASED FROM DD'S <br /> DISCOUNTS.COMPLAINANT ALLEGES HIS DOCTOR SAID HIS SYMPTOMS ARE INDICATIVE OF FOOD POISONING. COMPLAINANT STILL HAS <br /> CANDY. <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:FA0016311-dd's Discounts#5011 RPDBA <br /> Site Location 1120 E HAMMER LN RP mailing address <br /> STOCKTON,CA 95210 <br /> Cross Street WEST <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 925-9654526 <br /> Work Phone 925-9654526 EXT: <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 09403043 <br /> Date Abated /� Lv� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Jy �f� <br /> Circle appropriate Status Code l� <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 Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-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 /> ompaint Reviewed by: v� ate: pate y: te: <br /> 5104.rp1 <br />