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Complaint Investigation Form Report*5104 <br /> COMPLAINT : C00027280 Site Location: 1360 E ALPINE AVE Account1D: AR0001457 <br /> Receivedby. EE0007380 SHIH Received Date: 11/9/2007 Print Date:11/13/2007 8:32:47AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 11/13/2007 <br /> Proaram/Etement Code1600-FOOD PROGRAM r• t <br /> Complainant: :ERICA MCOUA Home Phone : 209-825-1018 X'� lD <br /> Address Work Phone <br /> Nature of complaint. <br /> (C)OBSERVED A LOT OF FLIES AND COCKROACHES AROUND THE MEAT PREPARATION TABLE ON 1118!07. (C)INFORMED FACILITY <br /> MANAGER WHO STATED THE OWNER IS NOT GOING TO DO ANYTHING. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Sd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION _ OWNER INFORMATION <br /> Facility:FAGO01458-EL GRULLENSE 46 Owner: OW0001280-GUERRERO,ALICIA <br /> Site Location 1360 E ALPINE AVE RP/DBA EL GRULLENSE <br /> STOCKTON,CA 95209 RP Address 3906 FOURTH ST <br /> STOCKTON,CA 95215 <br /> Mailing Address: 3906 E FOURTH ST Billing Address 3906 FOURTH ST <br /> STOCKTON,CA 95215 STOCKTON,CA 95215 <br /> Home Phone :209-463-5238 <br /> Phone :209-465-6210 Work Phone :209-462-3425 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 11708005 <br /> Date Abated /T,v 7 inspector <br /> Send Referral to ff Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE,Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed t No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Complaint History <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Attached But Not <br /> Scanned <br /> T - co <br /> 111 ij 4 <br /> Y.�.�1 i <br /> 5104,rpt <br />