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h..1f Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00050978 Site Location: 4855 S HWY 99 Account ID: AR0031541 <br /> Received by: EE0009848 MARTINEZ Received Date: 10/28/2019 Print Date: 10/28/2019 4:47:04PM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 10/28/2019 <br /> ProgramlElement Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of com laint: <br /> GLASS CONTAINER WITH BAKED GOODS HAS ABOUT 100 FRUIT FLIES INSIDE OF IT FLYING AROUND THE FOOD.COMPLAINANT CAN <br /> PROVIDE PICTURES AND VIDEO IF NEEDED, <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:FA0017977-STARBUCKS COFFEE#10183 RP DBA <br /> Site Location 4855 S HWY 99 RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street IMPERIAL <br /> Mailing address PO BOX 34442 S-TAX2 RP contact <br /> SEATTLE,WA 98124-1442 RP contact phone <br /> Phone 209-465-4374 <br /> Owner: OW0001874-STARBUCKS COFFEE CO <br /> DBA STARBUCKS COFFEE <br /> Owner address 2401 UTAH AVE SOUTH#800 <br /> SEATTLE,WA 98134 <br /> Billing Address PO BOX 34442,S-TAX2 <br /> SEATTLE,WA 98124 <br /> Home Phone 888-796-5282 <br /> Work Phone 206-447-1575 <br /> District 001-VILLAPUDUA,MIGUEL Location Code 01-STOCKTON <br /> APN 1792600/1 <br /> Date Abated `� ((C\ <br /> Inspector ID#: 0 <br /> Send Referral to ` Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <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: +1 i ate: p ate y: :V k1_1 <br /> 5104.rpt V !/l• <br />