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�• Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00020616 Site Location: 520 CAROLYN WESTON BLVD STE AccountlD: AR0023586 <br /> Received by: EE0004486 Sandoval Received Date: 4/7/2004 Print Date: 6!112004 11:57:15AM I�I <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 4/7/2004 <br /> I <br /> Program/Element Code 1600-FOOD PROGRAM i <br /> Complainant: : EMMA OPPENHEIMER Nome Phone <br /> Address Work Phone :209-2.34-0063 <br /> Nature of complaint: <br /> SPANISH SPEAKING WOMAN AND HER GRANDSON(13 YRS OLD)GOT SICK OF MEAT NACHOS EATEN AT THIS FACILITY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter <br /> E-Code <br /> Enforcement MMail/Correspondence O Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0013954-7ALAPENO'S TAQUERIA Owner: OW0011041 -CERVANTES,REYES <br /> Site Location 520 CAROLYN WESTON BLVD STE A RP/DBA l <br /> STOCKTON,CA 95206 RP Address 2735 NEMAHA WAY <br /> STOCKTON,CA 95206 + <br /> Mailing Address: 520 CAROLYN WESTON BLVD STE#A Billing Address 2735 NEMAHA WAY r+ <br /> STOCKTON,CA 95206 STOCKTON,CA 95206 <br /> Home Phone :209-942-4147 <br /> Work Phone :209-234-2585 I <br /> Phone ;209-234-2585 3 <br /> District 001 -GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APN 16422011 <br /> Date Abated y.«,�j� Inspector. 6AJZzoh4-2Ch,,ltk <br /> Send Referral to 1 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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY <!g)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) <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 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> f <br /> COMPLXNT DESK <br /> COPY l <br /> 5104.rpt <br />