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Complaint Investigation Form Report#:5104 <br /> t <br /> COMPLAINT ID: C00052379 Site Location: 610 S CHEROKEE LN Account ID: AR0025355 <br /> 'Received by: EE0006213 PEDRAZA Received Date: 8/4/2020 Print Date: 8/4/2020 8:49:33AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 8/4/2020 <br /> Program/E/ement Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT VISITED FACILITY ON 7/31/2020.COMPLAINANT PURCHASED CHICKEN PIECES AND DID NOT OPEN THEM UNTIL THE NEXT <br /> MORNING.COMPLAINANT ALLEGES THAT WHEN THEY OPENED THE CHICKEN, IT SMELLED HORRIBLE AND ONE OF THE PIECES HADA <br /> GREENISH COLOR TO IT.COMPLAINANT ALLEGES THEY HAVE RECEIVED SPOILED FOOD FROM THIS LOCATION ON MULTIPLE <br /> OCCASIONS. <br /> Complaint Mode: I 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:FA0014852-RANCHO SAN MIGUEL MARKET* RPDBA <br /> Site Location 610 S Cherokee Ln RP mailing address <br /> Lodi,CA 95240 <br /> Cross Street <br /> Mailing address RP contact <br /> LATHROP,CA 95330 RP contact phone <br /> Phone 209-858-0101 EXT: <br /> Owner: OW0001562-PAQ Inc. <br /> DBA <br /> Owneraddress 8014 LOWER SACRAMENTO RD STE 1 <br /> STOCKTON,CA 95210 <br /> Billing Address 17935 Murphy Parkway <br /> Lathrop,CA 95330 <br /> Home Phone 209-957-4917 <br /> Work Phone 209-858-0101 EXT: 5 <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 04745039 <br /> Date Abated 8J L ^v Inspector ID#: 6�;(� <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> Ot ield 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: ate: p ate y: DaD:6 <br /> 5104.rpt <br />