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Complaint Investigation Form Report#: 5104 <br /> t <br /> COMPLAINT ID: C00049756 Site Location: 678 N WILSON WY 2E Account ID: AR0004745 <br /> Received by: EE0009830 SAUERS Received Date: 5/2/2019 Print Date: 5/2/2019 1 1:01:38AM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 5/2/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES OWNERS BRING EGGS FROM THEIR CHICKENS AT HOME TO USE AT THIS FACILITY AND ALLEGES THEY BRING <br /> PLANTS FROM HOME AND SELL THEM ON THE FRONT COUNTER WHERE THEY SERVE THE FOOD. PLEASE CALL COMPLAINANT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I 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 INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002460-SOMBRERO TAQUERIA RP DBA <br /> Site Location 678 N WILSON WAY 2E RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street WILSON <br /> Mailing address 678 N WILSON WAY 42E RP contact <br /> STOCKTON,CA 95205 RP contact phone <br /> Phone <br /> Owner: OW0010548-VARGAS,JOSE/ ANACLETO <br /> DBA <br /> Owner address 7860 CABERNET ST <br /> VALLEY SPRINGS,CA 95252-1526 <br /> Billing Address 7860 CABERNET <br /> VALLEY SPRINGS,CA 95252 <br /> Home Phone 510-793-6271 <br /> Work Phone <br /> District 001-VILLAPUDUA,MIGUEL Location Code 01-STOCKTON <br /> APN NEAR/14129027 <br /> Date Abated `../(_ �(� Inspector ID#: , <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> beferred to Other Agency 97-Disaster Planning and Response <br /> nable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by: C. ate: p ated y: ate n <br /> 5104.rpt C <br />