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� Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000038021 Site Location: 678 N WILSON WAY Account ID AR0004645 <br /> Pecerved by EE0009058 LOWE Received Date: 5127/2014 Print Date: 5/27/2014 3:04A0PM <br /> Assigned 7o. EE0008999 HUYNH Assigned Date, 5/27/2014 <br /> Prooran'VEtement Code 1600-FOOD PROGRAM <br /> Complainant : <br /> <br /> <br /> Nature of corn taint: <br /> ON 05125/2014 WENT TO PURCHASE A TRkTIP WHEN SHE LOOKED AT IT SHE NOTICED A FLY WAS IN THE PACKAGING, (C)STATED ALL <br /> THE MILK WAS WARM. AND THAT THE STORE WAS VERY DIRTY IN ALL AREAS. <br /> Compiamt 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 /> 1-Internet F Email S-Shenfrs Office <br /> FACILITY INFORMATION _ OWNER INFORMATION <br /> Facility:FA0002.63-PAQ Inc.DBA Food-4-Less Owner: OW0001562-PAOInu, <br /> Site Location 678 N Wilson Way RPIDBA <br /> Stockton,CA 95205 RP Address 8014 LOWER SACRAMENTO RD STE I <br /> Cross Street STOCKTON,CA 952.10 <br /> Mailing Address: 17935 Murphy Parkway Billing Address 17935 Murphy Part-way <br /> Lathrop,CA 95330 Lathrop,CA 95330 <br /> Nome Phone :209-957-4917 <br /> Phone :209466-2751 EXT: Work Phone :209-858-0101 EXT: <br /> District 001-`lILLAPLIDUA Location Code <br /> APN <br /> Date Abated / � !I 1 Inspector ID#.- T1 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Data <br /> Complaint Status Code:(A6. <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> t0•POSTED SUBSTANDARDIUNSECURED-See Housing.File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> Si 04 rot <br />