Laserfiche WebLink
p v� Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00042801 Site Location: 2211 N WILSON WAY Account/D: AR0001526 <br /> Receivedby: EE0000025 SEDRA Received Date: 1/17/2017 Print Date: 1/17/2017 84842AM <br /> Assigned To: EE0009488 WONG Assigned Date: 1/17/2017 <br /> PmaramiElement Code:1600-FOOD PROGRAM <br /> Complainant: :TAMARA FREEMAN Home Phone 209-986-6629 <br /> Address work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES THAT ON 1/16/2017 AT APPROXIMATELY 9:30 AM THEY WERE AT THE FACILITY AND OBSERVED 3 LIVE MICE AND <br /> 4 LIVE BUGS IN THE DINING AREA.ALSO OBSERVED DEAD FLIES ON WINDOW LEDGE.COMPLAINANT ALSO STATED THAT THE FLOORS <br /> WERE DIRTY, PLEASE CALL COMPLAINANT WITH FINDINGS. <br /> Complaint Mode: P Complaint Mode Codes 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-Intemet/Email S-SheriRs Office <br /> ---------- -------------------------------- -- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facli FA0001527-FAR EAST CAFE Owner O W0001 191 -LEI,ZHEN ZHU <br /> Site Location 2211 N WILSON WAY RPiDBA FAR EAST CAFE <br /> STOCKTON,CA 95205 RP Address 6815 KERMIT LN <br /> Cruse Sheet WILSON STOCKTON,CA 95207 <br /> Mailing Address: 2211 N WILSON WAY Billing Address 6815 KERMIT LN <br /> STOCKTON,CA 95205 STOCKTON,CA 95207 <br /> Home Phone :209-477-5766 <br /> Phone :209-463-4478 work Phone 209-4634478 <br /> District 002-MILLER,KATHERINE Location Code 999-UNOJCORPORATED AREA <br /> APN 11707050 <br /> Date Abated ` / I [ Inspector ID If: fv^v1 <br /> Send Referral to l Referral Letter.Sant by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <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 Reqired-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 /> Refferred to Other Agency <br /> OB Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 0 <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 /> ompaint Reviewed by: Date Up ate y: ate / <br /> -21 <br /> 5104 rpt <br />