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J `7/" Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048245 Site Location: 4555 N PERSHING AVE STE 21 Account AR0004721 <br /> Received by: EE0000467 CARRUESCO Received Date: 1/7/2019 Print Date: 1/7/2019 5:01:52PM <br /> Assigned To: EE0000467 QAAI;W& &WIF Assigned Date: 1/7/2019 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> FACILITY LOCATED AT 4555 N PERSHING AVE SUITE 21 STOCKTON CA 95207.COMPLAINANT TASTED A SAMPLE OF TORTELLINI FROM <br /> ONE OF THEIR WARMING TRAYS THEY HAVE BEHIND THE PLEXI-GLASS AND IT WAS BARLEY ROOM TEMPERATURE. COMPLAINANT <br /> ADVISED THE EMPLOYEE OF THE TEMPERATURE AND ASKED EMPLOYEE HOW LONG HAD THE TRAY OF PASTA HAS BEEN SITTING AND <br /> EMPLOYEE RESPONDED NOT SURE,MAYBE TWO HOURS. PLEASE CONTACT COMPLAINANT WITH RESULTS OF INSPECTION. <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:FA0002515-DE VINCI'S DELICATESSEN RP DBA <br /> Site Location 4555 N PERSHING AVE STE 21 RP mailing address <br /> STOCKTON,CA 95207 <br /> Cross Street MARCH LANE <br /> Mailing address PO BOX 495 RP contact <br /> LINDEN,CA 95236-0495 RP contact phone <br /> Phone 209-957-2750 <br /> Owner: OW0012236-DE VINCI'S CORPORATION <br /> DBA DE VINCI'S DELICATESSEN&CATERING <br /> Owner address 18847 E FRONT ST <br /> LINDEN,CA 95236 <br /> Billing Address PO BOX 495 <br /> LINDEN,CA 95236 <br /> Home Phone 209-887-3000 <br /> Work Phone 209-403-7898 <br /> District Location Code 01-STOCKTON <br /> APN /J^I ,� <br /> Date Abated / . 1 tJ —� Inspector ID#: �t/V h`_5C c ► Z <br /> --------------------------------------------------------------------- --------------- ---------------------------------------------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: D D <br /> Circle appropri:ite 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 /> i!D Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> X10-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 /> 26-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewedy: - }�. Date: p ate y: a e: <br /> 5104.rpt <br />