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CO0045655
Environmental Health - Public
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CO0045655
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Entry Properties
Last modified
9/4/2020 8:18:11 PM
Creation date
2/11/2019 10:31:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0045655
PE
1600
FACILITY_ID
FA0002508
FACILITY_NAME
TORA SUSHI
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
ENTERED_DATE
2/1/2018 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE #5
RECEIVED_DATE
2/1/2018 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0045655.PDF
Tags
EHD - Public
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. 11 " . 09 V^ C,9— Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00045655 Site Location: 4555 N PERSHING AVE#5 Account to. AR0004765 <br /> Receivedby: EE0000026 SEDRA Received Date: 2/1/2018 Print Date: 2/1/2018 11:20:01AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 2/1/2018 <br /> Proaram/E/emant Code:1600-FOOD PROGRAM <br /> Complainant: :ANNA WILEY Home Phone : 415-312-4307 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES THERE ARE RATS IN THE RESTAURANT.NOT CHANGING GREASE,USING SAME GREASE FOR BOTH FISH, <br /> SHRIMP,CHICKEN AND ANY OTHER FRIED FOODS,UNUSED COOKED RICE IS PUT BACK INTO REFRIGERATOR IN SAME PAN AND REUSED <br /> THE NEXT DAY.ON 1/31/2016 CUSTOMER NOTICED MOLD IN THE BOTTOM OF RICE PAN. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement Ml I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S.Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002508-TORA SUSHI Owner: O W0001913-HOANG,BAO <br /> Site Location 4555 N PERSHING AVE 5 RP/DBA TORA SUSHI <br /> STOCKTON,CA 95207 RP Address 9523 THORNTON RD <br /> Cross Street MARCH LN STOCKTON,CA 95209 <br /> Mailing Address: 9523 THORNTON RD Billing Address 9523 THORNTON RD <br /> STOCKTON,CA 95209 STOCKTON,CA 95209 <br /> Home Phone <br /> Phone :209-952-0164 Work Phone209-951-0452 <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date abated 9 -1- 17 Inspector ID#: Flo hrSC{vw Z <br /> -------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:.`b <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> �2-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> nable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 0-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaml Reviewed by:—] Date. Updated by.f d7 <br /> 5104.rpt V <br /> of d <br />
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