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Reporit 51U4 <br /> i --�J Complaint investigation lForm <br /> '40 �T' Account fD: AR0007M <br /> I <br /> COMPLAINT ID: 000026381 Site Location: 1347 S EL DORADO ST Print Date: 512212007 10;OM6W <br /> s <br /> Received by: EE000TOSO Received Date: 5/2212007 n <br /> Assigned To: EE0001691 699 YOAKUM Assigned Date: 5/22/2007 LD <br /> SCA <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: ;YOLANDA AGUTAR Home Phone 209-462-8734 l . <br /> Work Phone <br /> Address <br /> } <br /> Nature of complaint., <br /> (C)ATE AT RESTAURANT ON 5/21107 AND STATES A COCKROACH CLIMBED UP WALL AND ALMOST INTO HER PLATE. IT OCCURRED AT <br /> APPROX. 10:30AM. <br /> j Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------- <br /> ----------- - ----------------- <br /> FACILITY <br /> ---- ----- ------ ----- ----- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0006409-EL GRULLENSE(TAQUERIA) Owner: OW0001107-GUERRERO,RAMON&MIQUEL <br /> Site Location 1347 S EL DORADO ST RP/DBA : <br /> STOCKTON,CA 95206 RP Address 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 <br /> Date Abated Inspector. J <br /> —_.._--------4-1 --------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> c <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 COMPLANT 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 /> EHD PERMIT FACILITY-see Linked PROGRAM FACLITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 7-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> { 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31 -15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) COmplaint Hisic: <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Attached But Not <br /> Scanned <br /> completed <br /> 5104.rpt <br />