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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00036533 Site Location; 10742 TRINITY PKWY Account ID. AR0027671 <br /> Received,tiy: EE0090753 MARTINEZ Received Date: 6/20/2013 <br /> Assigned To: EE0005362 WIESEMAN Print Date: 6/20/2033 9:08:26AM <br /> Assigned Date: 6/20I2013 <br /> PP gram/Element C <br /> <br /> <br /> <br /> <br /> <br /> : <br /> NO HAND WASHING PROCEDURES BEING FOLLOWED.SEE ATTACHED EMAIL <br /> 'I <br /> Complaint Mode:: I Complaint Made Cades A-A enc Referral <br /> 9 Y B-Bd of Supervisors I City Council C-Counter F-Fax <br /> li r E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> ———— —_——_— ——` I-Intemet/Email S-Sheriffs Office <br /> FACILITY INFORMATION — — — —OWNER INFORMATION —— <br /> Facility:FA0015905:WING STOP Owner: OW0012827-RYAN,MICHAEL <br /> Site Location,: 10742 TRINITY PKWY STE C RP/DBA <br /> WING STOP <br /> !� STOCKTON,CA 95219 RP Address 10431 DANUBE CT <br /> F Gross Street; STOCKTON,CA 95219 <br /> Mailing Address:i 10742 TRINITY PKWY STE C Billing Address 10431 DANUBE CT <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Nome Phone :209-351-5983 EXT: CELL <br /> Phone :209-474-3238 Work Phone <br /> District Location Code <br /> APN <br /> ——`Date Abated lrispeCtor ID#.• �t-e�,/vl Q-'� � <br /> :i -------- -- <br /> Send Referral to —— —— —' Referral Letter Sent by -- <br /> j <br /> Referral Address; Date. <br /> !I , <br /> Complaint Status Code. C,)( l <br /> Circle appropriate'Status Code <br /> E. 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED Ii 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT yr 29-FOODBORNE ILLNESS-Major Violations Identified <br />` 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> k 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Regired-See Program Record File <br /> C "END FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> ii <br /> 10.POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints' SEE ACTIVE CASE# <br /> EI <br /> E: <br /> E� <br /> it - <br /> � <br /> {{fI <br /> Ei _ <br /> i� <br /> 5904.rpt <br /> E � <br /> `i <br />