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GComplaint Investigation Form Report#:5104 <br /> Account 1D: AR0007910 <br /> ..C�e)MPLAINT ID: 000021154 Site Location: 1347 S EL DORADO ST <br /> Received by: EE0009249 WOODWARD Received Date: 7/13/2004 Print Date: 7/13/2004 3:55:32PM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 7/13/2004 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: :LORRAINE HUGGINS Nome Phone <br /> Address Work Phone -70777-735 <br /> U j_ <br /> ' �✓V L GL�� ���W/ � C <br /> Nature of complaint: <br /> (C)HANDLING CASH AND THEN HANDLING FOOD WITH OUT WASHING HANDS <br /> I <br /> Complaint Mode: PA-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------ <br /> -------- - ------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0006409-EL GRULLENSE(TAQUERIA) Owner: OWOOOI 107-GUERRERO,RAMON&MIQUEL <br /> Site Location 1347 S EL DORADO ST RPIDBA : <br /> STOCKTON,CA 95206 RPAddress 1327 S WILSON WY <br /> STOCKTON,CA 95205 <br /> Mailing Address: 1331 S WILSON WAY Billing Address 1327 S WILSON WY <br /> STOCKTON,CA 95205 STOCKTON,CA 95205 <br /> Home Phone ;209-463-9242 <br /> Phone :209-463-9242 Work Phone :209-463-6390 <br /> District 001 -GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APN 14716030 II- <br /> I Date Abated "���. Inspector: &141 <br /> c ___ ---------------------- <br /> -- ----------------------Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O('V <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 /> OS-ENFORCEMENT ACTION INITIATED 18 ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHO 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) <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 /> I5104.rpt <br />