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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000043160 Site Location: 678 N WILSON WAY Account ID: AR0004645 <br /> Receivedby: EE0000025 SEDRA Received Date: 3/24/2017 PrintDate: 3/24/2017 12:58:49PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 3/24/2017 <br /> ProcramrElement Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> -Mail Address <br /> Nature ofcomplaint; <br /> COMPLAINANT ALLEGES ON 3/7/2017 THEY PURCHASED A ORANGE BELL PEPPER.ON 3/23/2017 THEY CUT OPEN THE BELL PEPPER TO <br /> COOK AND FOUND BUGS INSIDE OF THE BELL PEPPER.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-Internet/Email S-Sheriffs Office <br /> --------------------------------- ----------------- <br /> PROPERTY <br /> _——————__—— —————————————— —_ ———_————_———_—— — <br /> PROPERTY 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 1 <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,CARLOS Location Code <br /> APN <br /> Date Abated Inspector ID#� `l n h <br /> ------------------------ --- - --------------------- <br /> Send Referral to Referral Letter Sent 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 Regired-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 /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <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 /> ompamt Reviewed y: ate: pate <br /> fV y: <br /> Date. <br /> v <br /> 5104.rp1 <br />