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Complaint Investigation Form Report#.5104 <br /> COMPLAINT ID: C00031643 Site Location: 1360 E ALPINE AVE AccountlD: AR0001457 <br /> Received by: EE0004636 BACKUS Received Date: 2/2612010 Print Date: 3/1/2010 11:14:35AM <br /> Assigned To: EE0006213 PEDRAZA Assigned cafe: 3/1/2010 <br /> Program/Element Code.-1600-FOOD PROGRAM <br /> Complainant: :OSCAR&GABRIELA AVINA Home Phone : 209-922-2322 <br /> Address Work Phone <br /> E-Mat!Address <br /> Nature of complaint. <br /> (C)STATED WHILE EATING AT FACILITY,THEIR CHILD WAS EATING A RICE&BEANS DISH,WHICH HAD COCKROACHES. -(C)REQUESTS <br /> [ACALL BACK FROM INSPECTOR AFTER INSPECTION. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------------------------- --------------------------------.- -------- ---- --------- ' <br /> FACILITY INFORMATION OWNER INFORMATION <br /> i <br /> Facility:FA0001458-EL GRULLENSE#6 Owner: OW0001280-GUERRERO,ALICIA <br /> Site Location 1360 E ALPINE AVE RP/DBA EL GRULLENSE <br /> STOCKTON,CA 95209 RP Address 3906 FOURTH ST i <br /> Cross Street ALPINE STOCKTON,CA 95215 <br /> Mailing Address: 3906 E FOURTH ST Billing Address 3906 FOURTH ST <br /> STOCKTON,CA 95215 STOCKTON,CA 95215 <br /> Nome Phone :209-463-5238 <br /> Phone :209465-6210 Work Phone :209-462-3425 <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> APN 11708005 <br /> f Date Abated d�4� / a Inspector: (�a/3 <br /> — -------- --- ------- <br /> 4 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint History <br /> Complaint status Code; NO Attached But Not <br /> Scanned <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Ofd Complaint-No Original Found-Pre4racking <br /> A&EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 51Oq.rpt <br />