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c� P�., Complaint Investigation Form Report#:5104 <br /> L -� <br /> COMPLAINT IQ: C00032434 Site Location: 678 N WILSON WAY Account ID: AR0004645 <br /> Received by: EE0007541 FIELD Received Date: 8/9/2010 Print Date: 8/9/2010 4:59:11PM I <br /> Assigned To: EE0001420 MENDE Assigned Date; 8/9/2010 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint., <br /> (C)STATED THAT BETWEEN 8:30-9 PM ON 8/7110, SHE WAS LEAVING THIS FACILITY AND FOUND A COCKROACH CRAWLING ON HER <br /> SHOPPING CART. WHEN SHE WAS UNPACKING HER GROCERIES AT HOME,ANOTHER COCKROACH CRAWLED OUT OF ONE OF HER <br /> GROCERY BAGS. """`(C)REQUESTS A CALL BACK FROM INSPECTOR AFTER INSPECTION, <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Office <br /> ----------------------------------------- <br /> FACILITY <br /> --------------- ------FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002463-FOOD 4 LESS* Owner: OW00o1562-PAQ INC <br /> Site Location 678 N WILSON WAY RP/DBA ; <br /> STOCKTON,CA 95205 RP Address 8014 LOWER SACRAMENTO RD STE I <br /> Cross Street STOCKTON,CA 9 52 10 <br /> Mailing Address: 17935 MURPHY PARKWAY Bitting Address 17935 MURPHY PARKWAY <br /> LATHROP,CA 95330 LATHROP,CA 95330 <br /> Home Phone ;209-957-4917 <br /> Phone :209-957-4917 Work Phone ;209-858-0101 <br /> District 001 -VILLAPUDUA Location Code 01-STOCKTON <br /> APN 14129006 <br /> Date Abated %'- 1 p i U Inspector.' I <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:©6 <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 00 -NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I 51 1 <br /> .rpt <br /> I <br />