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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COISIJULL Site Location: 8023 West Lane, Stockton Account ID: : <br /> Receivedby: EE0004636 BACKUS Received Date: 4/8/2016 Print Date: 4/11/2016 10:56:56AM <br /> Assigned To EE0004636 BACKUS Assigned Date: 4/8/2016 <br /> ProgranliElement Code.1600-FOOD PROGRAM <br /> Complainant: : EHD Home Phone <br /> Address : Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> FLOOR DRAIN UNDER THE THREE-COMPARTMENT SINK IS PLUGGED AND NOT DRAINING. FACILITY IS UNDER SJCEHD ORDER TO CLEAR <br /> THE DRAIN AND CALL EHD FOR INSPECTION BEFORE OPENING FOR BUSINESS, <br /> Complaint Mode: P Complaint Mode Cotles 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-SherilPs Office <br /> —_— — _ — —_— ——-- -------------------------- <br /> PROPERTY <br /> —_— --_-- --_------__ — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:CHURCHS CHICKEN Responsible Party or Property Owner:HARDEEP SINGH-PRESIDENT <br /> Site Location 8023 WEST RPrDBA CH&R FOODS <br /> STOCKTON,CA 95207 RPAddress 6248 PACIFIC AVE <br /> Cross Street HAMMER LANE STOCKTON,CA 95207 <br /> Billing Address 6248 PACIFIC AVE <br /> Home Phone <br /> Phone : Work Phone 661-703-7298 <br /> District Location Code <br /> APN <br /> Date Abated ^ f It <br /> Inspector ID 1 13AulM S <br /> ----- ---- -- --------------- <br /> Send Referral to <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Codq <br /> Circle appropriate Status Code r <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regiretl--See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReReRed to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omplaint Reviewed by ate. pate y: ate: <br /> 5104 rpt <br />