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t� Complaint Investigation FormAReport* 5104 <br /> COMPLAI T ID: 000035033 Site Location: 4555 PERSHING AVE Account ID: AR0004665 <br /> Received by: EE0001788 CASTANEDA Received Date: 5/2912012 Print bate: 5/29/2012 4:06:52PM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 5/29/2012 <br /> Progrem/Element Cade-1600-FOOD PROGRAM <br /> Complainant, :NICOLE Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> ON 5117(C)PURCHASED BEER IN A PITCHER AND POURED IT INTO A GLASS. (C)FOUND GLASS IN DRINK AND SWALLOW A COUPLE OF <br /> SMALL PIECES.THIS HAS HAPPENED IN THE PAST.GLASSES ARE STACKED ON TOP OF EACH OTHER BEFORE USE AND BELIEVES THIS <br /> IS WHERE THE GLASS IS COMING FROM.(C)REQUESTS A CALL BACK AFTER INSPECTION <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mai!/Correspondence O-Other EH Unit P-Phone <br /> -Internet!Email S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002511-FATS GRILL&BAR Owner: OW0001916-MEHARG INC <br /> Site Location 4555 N PERSHING AVE STE 22 RP/DBA ;FATS GRILL&BAR <br /> STOCKTON,CA 95207 RP Address 3626 CHATSWORTH CIR <br /> Cross Street STOCKTON,CA 95209 <br /> Mailing Address: 4555 N PERSHING STE 422 Billing Address 3626 CHATSWORTH CIR <br /> STOCKTON,CA 95207 STOCKTON,CA 95209 <br /> Home Phone :209-40-0115 <br /> Phone :209-473-3281 Work Phone ;209-473-3281 <br /> District Location Code <br /> APN <br /> Date Abated 5 3 �� , �� Inspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06 EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 06-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104.rpt <br />