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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT IC: C0003366$ Site Location: 678 N WILSON WAY 42 KAccount ID: AR0004691 <br /> Received by: EE0006213 PEDRAZA Received Date: 6/1012011 Print Date: '6110!2011 9:49A8AM <br /> Assigned To:. EE0006213 PEDRAZA Assigned Date: 6/10/2011 <br /> P ogramit lament Code:1600-'FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint. <br /> WHILE{C}WAS AT FACILITY ON 619111,HE OBSERVED BABY COCKROACHES UNDER EQUIPMENT,AND.-THERE WERE NOODLES ON THE <br /> FLOOR. PREPARATION WAS BEING DONE WITH THE BACK DOOR OPEN. SOIL AND GREASE ACCUMULATION IN THE FACILITY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit. P-Phone <br /> -Internet!Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002466-SUN KING RESTAURANT Owner: OW0001894-HUANG;YONG Q <br /> Site Location 678 N WILSON WAY 42 RP/DBA <br /> STOCKTON,CA 95205 RP Address 421 E SONORA ST <br /> Cross Street WILSON STOCKTON,CA 95203 <br /> Mailing Address: 678 N WILSON WY STE-142 Billing Address 421 E SONORA ST <br /> STOCKTON,'CA 95205 STOCKTON,CA 95203 <br /> Home Phone :209-941-4610 <br /> Phone :209-465-3829 Work Phone :209-465-3829 <br /> District 001-VILLAPUDUA Location Code 01 -STOCKTON <br /> APN 14129005 <br /> Dote Abated f' /� Inspector. ! ' <br /> ---------------------------------------------------- <br /> Send Referral to / f E' Referral letter Sent by <br /> Referral Address - Date: <br /> Complaint Status Code: <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 87-Disaster Planning and Response <br /> 04,NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 6 HD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Ciosed <br /> 0 -REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SU BSTAN DARDIUNSECU RED-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 <br /> 5 rpt iI <br /> �.J <br />