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Complaint Investigation Form Report#:5104 <br /> COMPPiAINT ID: C00020087 Site Location.- 520 CAROLYN WESTON BLVD STE AccountID: AR0023586 <br /> Received by: EE0000001 TURKATTE Received Date: 12/8/2003 Print Date: 12/8/2003 4:57:35PM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 12/8/2003 <br /> Proaram/Element Code 1624-RESTAURANT/BAR 21-50 SEATS <br /> Complainant: ; <br /> <br /> - <br /> Nature of com Ia►nt: <br /> ON 11/14/03 BETWEEN 5:30-6:30PM(C)ORDERED BEEF TAMALE BEEF ENCHILADA, FOOD COLD DIDN'T EAT THE WHOLE THING. GOT SICK <br /> ON 16TH-19TH VERY PAINFUL.WENT TO DR. (E COLE URINALYSIS)CRAMPING&CONSTIPATION.STILL SICK POSSIBLE HEPATITIS A. DR. <br /> WEIGER. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> — <br /> FACILITY INFORMATION OWNER INFORMATION — mm <br /> Facility:FA0013954-JALAPENO'S TAQUERIA Owner: OW0011041 -ARANDA,JAVIER&CERVANTES,R <br /> Site Location 520 CAROLYN WESTON BLVD STE A RP/DBA : <br /> STOCKTON,CA 95206 RP Address 2735 NEMAHA WAY <br /> STOCKTON,CA 95206 <br /> Mailing Address: 5433 E MARSH ST Billing Address 2735 NEMAHA WAY <br /> STOCKTON,CA 95215-5430 STOCKTON,CA 95206 <br /> Home Phone :209-942-4147 t <br /> " Phone :209-234-2585 Work Phone :209-234-2585 <br /> t <br /> District 001 -GUTIERREZ,STFV E Location Code 01 -STOCKTON <br /> APN 16422011 / { <br /> Date Abated f S W-02) Inspector `�� 4Lf_l��lel }l <br /> I <br /> Send Referral to 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 AITIATED 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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) i <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE ��LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> Y� <br /> ,�y4 & <br /> 5104.rpt <br />