Laserfiche WebLink
Date run: 03/05/96 SAN JOAQUIN COUNTY <br /> ? °- . PUBLIC HEALTH SERVICRun by MARY 'w <br /> Report <br /> #5104Copy <br /> 01 COMPLAINT INVE STIGATIC7N RE P0F2T Page # <br /> COMPLAINT # = C0005628 <br /> Taken by : 0794 RAJU MATHEW Date: 03/04/96 Program/Element : ' 1600 <br /> Hard copy printed: Assigned to : 0794 RAJU MATHEW Date: 03/04/96 <br /> Facility Name. E.L. G'RU.L.L, N_5E #6 <br /> Fac ID: 0. 01,458_ <br /> Location: 1360 E ALPINE BILL to inventoried FACILITY: <br /> (dust have FACILITY ID#) <br /> complainant: Cy 1.0.) 7 Phone : <br /> -G...„D , <br /> Address: <br /> Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: EL_ GRUL,LE:NSE #.6 <br /> Address : 1. oy.. _���._PzrvE.. <br /> Loc Cade 01 <br /> , ......... _ ...BOS Dist <br /> City <br /> ......... CK.TbN 95209 APN # <br /> Phone . 209--464--2379 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : G.UCRR.ERO., N=.BE•_.RTO <br /> } <br /> Address: 3906 4TH ST _ -Home Phone: 209--463-5238 <br /> .................... <br /> ........... <br /> .... <br /> ..... <br /> _..... ... <br /> ... <br /> ... <br /> _.......... <br /> ....Work Phone <br /> city : STOP KTON. CA 95205 <br /> Nature of Complaint: <br /> PERSON IDENTIFIED WITH E—COLI INFECTION CLAIMS TO HAVE EATEN A CHEESE— <br /> BURGER FROM EL GRULLENSE TACOS 2 DAYS PRIOR TO ONSET OF SYMPTOMS . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> .................. <br /> A-Agency Referral B-BD OF Supervisors/City CCOUflCil C-COunter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS:0_ <br /> d Rbate -Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06=Trans' fe o Premise Fiie 07-Refer to other Agency 48-Not Valid 09-Foodborne Illness { <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: `J II III IV for Investigation <br /> 5 <br />