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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00038562 Site Location: 10742 TRINITY PKWY Account ID: AR0027671 <br /> Received by: EE0009058 LOWE Received Date: 9/22/2014 Print Date. 9/22/2014 3:55:19PM <br /> Assigned To: EE0005362 WIESEMAN Assigned Date: 9/22/2014 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : ERNESTO Home Phone 209-475-2358 <br /> Address Work Phone <br /> Mail Address <br /> Nature of com laint: <br /> (C)PURCHASED A FAMILY MEAL ON 9/7/14 @9:30 PM. BONELESS WINGS WERE RAW ON THE INSIDE. <br /> Complaint Mode: P Complaint Mode Codes - <br /> 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 /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0015905-WING STOP Owner. OW0012827-RYAN,MICHAEL <br /> Site Location 10742 TRINITY PKWY STE C RP/DBA WING STOP <br /> STOCKTON,CA 95219 RP Address 10431 DANUBE CT <br /> Cross Street STOCKTON,CA 95219 <br /> Mailing Address: 10742 TRINITY PKWY STE C Billing Address 10431 DANUBE CT <br /> STOCKTON,CA 95219 STOCKTON,CA 95219 <br /> Home Phone :209-351-5983 EXT: CELL <br /> Phone :209-474-3238 Work Phone <br /> District 004-VOGEL,KEN Location Code 01-STOCKTON <br /> APN 06602019 <br /> Date Abated %2(,-\H Inspector ID#: l <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 Reqired-See Program Record File <br /> 05--D_A-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 6�EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10077-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />