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/16— Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039125 Site Location: 678 WILSON WAY Account ID. AR0004645 <br /> Receivedby: EE0001788 CASTANEDA Received Date: 1/21/2015 Print Date: 1/21/2015 1:54:34PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 1/21/2015 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> (C)PURCHASED TORTILLAS ON JAN 3RD.WHEN OPENED AT HOME,NOTICED A RAT HAD TAKEN BITES OUT OF THE TORTILLAS. (C) <br /> RETURNED THEM TO STORE. C/B AFTER INSPECTION. (C)SPEAKS SPANISH. <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-Internet/Email S-Sheriffs Office <br /> ----- --------- - --------- ------ - -- -- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002463-PAQ Inc.DBA Food-4-Less Owner: OW0001562-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 95210 <br /> Mailing Address: 17935 Murphy Parkway Billing Address 17935 MURPHY PARKWAY <br /> Lathrop,CA 95330 LATHROP,CA 95330 <br /> Home Phone :209-957-4917 <br /> Phone :209-466-2751 EXT: Work Phone :209-858-0101 EXT: 5 <br /> District 001-VILLAPUDUA Location Code <br /> APN <br /> Date Abated l2'j�i (� Inspector ID#: � <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Ob- <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 /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />