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--= Complaint Investigation Form { <br /> - P g Report#:5104 <br /> CdMPLAINT ID: C00030917 Site Location: 2211 N WILSON WAY AccounttD: AR0001526 , <br /> Received by: EE0007541 FIELD Received Date: 902009 Print Date., 9/2/2009 2:48:06PM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 9/2/20179 <br /> Prooram/Element Codel600-FOOD PROGRAM <br /> Complainant: ;ANONYMOUS Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> (C)WAS AT FACILITY TODAY BETWEEN 10-10.30 AM. HE SAW TWO, LIVE BABY RATS OR MICE IN THE EATING AREA,WHICH CAME FROM <br /> THE KITCHEN. FEMALE OWNER OR EMPLOYEE PICKED THEM UP IN A NAPKIN. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax j <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> -- <br /> ----- ------------------------------------------ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001527-FAR EAST CAFE Owner: OW0001191 -LEI,ZHEN ZHU <br /> Site Location 2211 N WILSON WAY RP/DBA FAR EAST CAFE <br /> STOCKTON,CA 95205 RPAddress 6815 KERMIT LN <br /> Cross Street WILSON STOCKTON,CA 95207 <br /> Mailing Address 2211 N WILSON WAY Billing Address 6815 KERMIT LN i <br /> STOCKTON,CA 95205 STOCKTON,CA 95207 <br /> Home Phone :209-477-5766 <br /> Phone :209-463-4478 Work Phone ;209-463-4478 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA j <br /> APN 11707050 i <br /> I <br /> Date Abated f2q Inspector. <br /> --- ----- V��7�I "— ———— ----- ----------------------- <br /> Send Referral to Referral tetter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ffa <br /> Circle appropriate Status Code f <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE `1 <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT y <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> OEHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed/No Major ViolatioreomplaiIlt History, <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified Attached But Not <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File 30-15 Day Letter Sent-Confirmed Complaint Scanned I <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 1 <br /> 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD Assessment Performed-No Abatement Required <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 52-LEAD Abatement Regired-See Program Record File <br /> Ii <br /> 1 <br /> 5104,rpt <br /> 11 i <br />