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r Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00014548 Site Location: 1347 S EL DORADO ST Account ID. AR0007910 <br /> Receivedby: EE0000794 MATHEW /jam Received Date: 7/25/2000 <br /> Assigned To: EE0000794 MA DfE4 r ) Assigned Date: 7/25/00 <br /> Prooram/Element Code: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Complainant: <br /> <br /> Nature of complaint: <br /> YEAR OLD ATE CHICKEN ENCHILADA ON JULY 16th AND BECAME ILL WITH DIARRHEA, DIAGNOSED WITH SHIGELLA ON THE 21st. <br /> MOTHER STARTED HAVING SYMPTOMS OF SAME ILLNESS ON JULY 22nd. <br /> Complaint Mode P Complaint Mode Codes A-Agency Referr: B-Bd of Supervisors/City C-Count( E-Code EnforcemE <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0006409-EL GRULLENSE(TAQUERIA) OW0001107-GUERRERO, RAMON&MIQUEL <br /> Site Location: 1347 S EL DORADO ST <br /> STOCKTON,CA 95206 RP Address: 1327 S WILSON WY <br /> Mailing Address: 1331 S WILSON WAY <br /> STOCKTON,CA 95205 Billing Address: 1327 S WILSON WY <br /> Phone: 1st: 209-463-9242 STOCKTON,CA 95205 <br /> Phone: Hm: 209-463-9242 <br /> Wk: 209-463-6390 <br /> District., 001 -GUTIERREZ,STEVE Location Code: 01 -STOCKTON <br /> APN: p <br /> Date Abated: 0 �i <br /> Inspector. <br /> Send Referral to: <br /> Referral Letter Sent by. <br /> Referral Address: Date: <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 50- Lead Hazard Evaluation Required(1) <br /> 06- EHD Permit Facility-See Linked Premise File 52- Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53- Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54- Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12- Enforcement Case-Transferred To LIQUID WASTE File 56- Lead Hazard Abatement Complete (7) <br /> 13- Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant W/Soil Contamination <br /> 14- Enforcement Case-Transferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />