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Complaint Investigation Form UReport#: 5104 <br /> COMPLAINT ID: 000018346 Site Location: 1360 E ALPINE AVE Account ID: AR0001457 <br /> Received by: EE0002282 RABACA Received Date: 11/21/2002 <br /> Assigned To: EE0006213 PE A 1N1�^� Assigned Date: 11/21/2002 <br /> Pro ram/Flement Code: 1624-RESTAURANTIBAR 21-50 SEATS <br /> Complainant: KEN ATKINSON Home Phone: 209-478-0495 <br /> Address: Work Phone: <br /> Nature of complaint: _ <br /> COMPLAINANT STATES THAT ON TWO OCCASIONS HE HAS OBSERVED THE FEMALE COOK HANDLE RAW MEAT AND RAW CHICKEN <br /> AND THEM TOUCH FOOD PRODUCTS WHICH ARE NOT COOKED Ai/e_ e0-%ZCr w e <br /> r- ,QGt�f 1� V9 f'Q VD Gey r tr+� <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral d of Supervisors/Citrbouncil E-Code Enforcem t <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001458-EL GRULLENSE#6 Owner: OW0001280-GUERRERO,ALICIA <br /> RP/DBA: EL GRULLENSE <br /> Site Location: 1360 E ALPINE AVE RPAddress: 3906 4TH ST <br /> STOCKTON,CA 95209 <br /> STOCKTON,CA 95205 <br /> Mailing Address: 3906 E 4TH ST <br /> STOCKTON,CA 95205 Billing Address:: 3906 4TH ST <br /> STOCKTON,CA 95205 <br /> Phone: 1st: 209-465-6210 Phone: Hm: 209-463-5238 <br /> Wk: 209-462-3425 <br /> District 001 -GUTIERREZ,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Date Abated <br /> Inspector <br /> U 6F <br /> Send Referral to: <br /> Referral Address: <br /> i <br /> Referral Letter Sent by: <br /> Date: <br /> CI"A - <br /> Complaint Status Code: <br /> 01-Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51-Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> r, <br /> 5I04.rp1 <br />