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V I Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050945 Site Location: 678 N WILSON WAY STE 37 Account ID: AR0004676 <br /> Received by: EE0009846 BALLWAHN Received Date: 10/28/2019 Print Date: 10/28/2019 11:32:32AM <br /> Assigned To: EE0009832 ACEVEDO Assigned Date: 10/28/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> DIRTY,DISARRAY,FOOD ON THE FLOOR. FOOD EXPIRED. CHIPS THREE MONTHS PAST EXPIRATION DATE. <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 INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002472-DOLLAR TREE#01240 RP DBA <br /> Site Location 678 N WILSON WAY STE 37 RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street FREMONT <br /> Mailing address 500 Volvo Pkwy RP contact <br /> Chesapeake,VA 23320 RP contact phone <br /> Phone 209-547-9898 EXT: <br /> Owner: OW0006662-DOLLAR TREE STORES INC <br /> DBA <br /> Owner address 500 VOLVO PKWY <br /> CHESAPEAKE,VA 23320 <br /> Billing Address 500 VOLVO PKWY <br /> CHESAPEAKE,VA 23320 <br /> Home Phone 757-321-5000 <br /> Work Phone 757-321-5000 EXT: <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN 14129011 <br /> Date Abated w I YJ (i�% Inspector ID#: <br /> d <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code.-01b <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 /> 8 Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 1 -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: LO late: p ate y: Da <br /> 5104.rpt <br />