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14'.11/ <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052351 Site Location: 1537 N WILSON WAY Account ID: AR0001652 <br /> Received by: EE0003600 BLACKWELL Received Date: 7/29/2020 Print Date: 7/29/2020 11:13:52AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 7/29/2020 <br /> Proarram/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> NONE OF THE EMPLOYEES ARE WEARING MASK,COMPLAINANT WOULD LIKE A CALL BACK FROM INSPECTOR. <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 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0001652-KFC LEX #225 RP DBA <br /> Site location 1537 N WILSON WAY RP mailing address <br /> STOCKTON,CA 95205--311 <br /> Cross Street HARDING <br /> Mailing address 1555 Meadowview Road,Suite 150 RPcontact <br /> Sacramento,CA 95823 RP contact phone <br /> Phone 209-452-5929 EXT: <br /> Owner: OW0000440-Overzet 225,Inc. <br /> DBA <br /> Owneraddress 1537 N WILSON WAY <br /> STOCKTON,CA 95205 <br /> Billing Address 1555 Meadowview Road,Suite 150 <br /> Sacramento,CA 95823 <br /> Home Phone <br /> Work Phone 916-553-2267 EXT: <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 117200 8 <br /> Date Abated Inspector ID#: ` <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: /2 <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 /> 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 /> omp aint Reviewed by: !]� <br /> 0 Date: p ate y: Daten ` <br /> 5104.rpt <br />