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Date run 06/28/ SAN JOAQUIN COUNTY PUBLIC HEALTH SERA, IC Report #5104 L <br /> _ Ru _, by : CAROLDT Page # <br /> Copy # : Ol of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0012508 Program/Element, : 1625 <br /> Taken by : 6519 DISA Date: 06/28/99 Assigned to 0794MA2J{ Date: 06/28/99 <br /> Hard copy Printed: '� V` <br /> Facility Name : EL GRULLENSE__( TAQU.ERIA_)I Fac ID : 006409 <br /> BILL to inventoried FACILITY: <br /> Location: 1347 S EL DORADO ST (Must have FACILITY ID#) <br /> Complainant : SANDY GARCIA Home Phone : 209-463-3904 <br /> Address Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : EL GRULLENSE_( TAQUERIA ) __ _ Loc Code : 01 <br /> Address: 1347 S EL DORADO ST BOS Dist : 001 <br /> City: STOCKTON 95206 APN # <br /> Phone : 209-463-9242 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : GUERRERO_, RAMON & M.I.QUEL ,,,_, -------,Home Phone : 209-463-9242 <br /> Address: 1327 S WILSON WY Work Phone: 209-463-6390 <br /> City : STOCKTON CA 95205 <br /> Nature of Complaint: <br /> BOUGHT TWO BURRITOS AND TACO 'S FOUND A MAGGOT IN ONE OF' THE BURRITOS . <br /> PLEASE CALL AFTER INSPECTION . <br /> COMPLAINT Info — <br /> COMPLAINT MODE' P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Ot <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfe, to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sant by : Dater____ <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P!E updated <br /> Forwarded to UNIT: 0 <br /> II III IV for Investigation <br />