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T T <br /> V- ` Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00050433 Site Location: 678 N WILSON WY, STE 38 AccountlD: AR0014622 <br /> Received by: EE0009830 SAUERS Received Date: 9/6/2019 Print Date: 9/6/2019 1:26:05PM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 9/6/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT PURCHASED A SALAD FROM FACILITY ON 9/5/19,AND ALLEGES THE VEGGIES IN THE SALAD WERE ROTTEN.THE <br /> TOMATOES WERE MOLDY AND THE BELL PEPPERS WERE TRANSLUCENT. <br /> —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 /> [-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0007931-PAPA MURPHYS TAKE N BAKE PIZZA RP DBA <br /> Site Location 678 N WILSON WAY STE 38 RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street FREMONT <br /> Mailing address 678 N WILSON WAY STE 38 RP contact <br /> STOCKTON,CA 95205 RP contact phone <br /> Phone 209-943-7272 <br /> Owner: OW0017798-NICK&ANDY PIZZA INC <br /> DBA PAPA MURPHYS TAKE N BAKE PIZZA <br /> Owner address 4473CHEVAL WAY <br /> ROSEVILLE,CA 95747--636 <br /> Billing Address 4473 CHEVAL WAY <br /> ROSEVILLE,CA 95747--636 <br /> Home Phone 916-765-3584 <br /> Work Phone 209-943-7272 <br /> District 001-VILLAPUDUA,MIGUEL Location Code 01-STOCKTON <br /> APN 141290/07 0 <br /> Date Abated 'A Inspector ID#: <br /> Send Referral to 1 ✓ ` Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:UA <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 /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 00 -Unable 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 /> omplaint Reviewed by: _ ( ate: Updated by: Date: <br /> 5104.rpt <br />