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CO0045328
Environmental Health - Public
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1600 - Food Program
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CO0045328
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Entry Properties
Last modified
8/6/2021 9:23:16 AM
Creation date
2/13/2019 1:01:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0045328
PE
1600
FACILITY_ID
FA0002462
FACILITY_NAME
EL POLLO LOCO #3307
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14129003
ENTERED_DATE
12/28/2017 12:00:00 AM
SITE_LOCATION
678 WILSON WAY
RECEIVED_DATE
12/28/2017 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\678\CO0045328.PDF
Tags
EHD - Public
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+ r Complaint Investigation Form Report#: 5104 <br /> COMPLAWT ID: C00045328 Site Location: 678 WILSON WAY Account ID: AR0004629 <br /> Receivedby: EE0001788 CASTANEDA Received Date: 12/28/2017 Print Date: 12/18/2017 3:16:40PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 12/28/2017 <br /> Procram/Element Coda:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES ON 2/27/2017 AT APPROXIMATELY 9:00 PM THEY WERE DINING IN THE FACILITY AND OBSERVED A RAT RUN <br /> ACROSS THE DINING ROOM.COMPLAINANT STATED THEY THREW FOOD AWAY AND LEFT THE FACILITY. <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-Intemet/Email S-Sherifrs Office <br /> ----------- - -- ------------------------------------ <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002462-EL POLLO LOCO#3307 Owner: OW0001417-NOR-CAL CHICKEN <br /> Site Location 678 N WILSON WAY STE 3 RP/DBA EL POLLO LOCO <br /> STOCKTON,CA 95205 RP Address 930 VIRGINIA AVE <br /> Cross Street PARK MODESTO,CA 95350--515 <br /> Mailing Address: 2155 W.March Ln Ste. IA Billing Address 2155 W.March Ln Ste. IA <br /> Stockton,CA 95207 STOCKTON,CA 95207 <br /> Home Phone :209-942-2144 <br /> Phone :209-942-2144 EXT: Work Phone ;209-589-3224 EXT: <br /> District 001-V I LAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14129003 <br /> Date Abated 1/1 %P/1 CG Inspector ID#: Vnh <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 2 . <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> Z-Aomp amt ewewe y: lC7 ate: Updated by: ale: / <br /> 5104.rpt '� <br />
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