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c Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: pbo024387 Site Location: 620 S CENTRAL AVE Account 10: AR0025335 <br /> Received by: EE0007541 FIELD Received Date: 4/24/2006 Print Date: 4/25/2006 1:52:22PM <br /> Assigned To.' EE0000467 CARaUESCO Assigned Date: 4/24/2406 <br /> ProaramlEfement CodeXiLlmn�A <br /> H i ` SATEMENT PROGRAM <br /> Complainant. .lOHNSON Home Phone 209-474-6295 <br /> Address Work Phone <br /> Nature of complaint. <br /> ON 4121/06,(C)[76 YR OLD]ORDERED A SPICY TACO FROM LA ESPERANZA TACO TRUCK(PARKS NEXT TO DMV). (C)ORDERED A TACO. <br /> SERVER ASKED(C), "SO YOU CAN STAND IT?" WHEN(C)BIT INTO TACO, IT BURNT HER MOUTH AND LEFT A BLISTER. BY THAT EVENING, <br /> THE INSIDE OF(C)'S MOUTH WAS SWOLLEN. (C)STATED SHE WOULD BE GOING TO DR. <br /> Complaint Mode: P ComplaintMode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0014844-LA ESPERANZA #511$2998 Owner: OW0011848-ORTIZ,ESPERANZA <br /> Site Location 620 S CENTRAL AVE RP/DBA LA ESPERANZA <br /> LODI,CA 95240 RP Address 323 E LOCUST ST APT 1 <br /> LODI,CA 95240 <br /> Mailing Address: PO BOX 305 Billing Address PO BOX 305 <br /> ACAMPO,CA 95220 ACAMPO,CA 95220 <br /> Home Phone :209-368-7606 <br /> Phone :209-339-9031 Work Phone :209-929-0163 <br /> District 004-SEIGLOCK,JACK Location Code <br /> APN <br /> Date Abated f /_ D/_ Inspector.' <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:�L <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 11 <br /> �)NAISENT <br /> OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE#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 /> 0a-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE= 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint History <br /> SCANNEDScanned <br /> But Not <br /> Scanned <br /> 6104_rpt <br /> completed <br />