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Complaint Investigation Form Report*5104 <br /> y <br /> COMPLAI ID: C00033376 Site Location: 1347 S EL DORADO ST Account ID. AR0007910 <br /> Received by: EE0000467 CARRUESCO Received Date: 3131/2011 Print Date: 3/31/2011 4:52:54PM <br /> Assigned To: EF0003361 FLOHRSCHUTZ Assigned Date: 3/31/2011 <br /> ProvranyElement Code:1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> E-Mai!Address <br /> Nature of com Taint: <br /> UNCOVERED RAW MEATS IN GREY TUBS IN THE BACK OF THE GREEN PICKUP. NO REFRIGERATION, NO COVERS FOR FOOD. (C)WAS IN <br /> RESTAURANT FOR 40 MINUTES AND MEAT SAT OUT IN THE SUN IN BACK OF PICK UP FOR THE ENTIRE TIME. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> i-Intemet 1 Email S-Sheriffs Office <br /> -------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility;FA0006409-RESTAURANT EL GRULLENSE Owner; OW0001107-RASIL G INC <br /> Site Location 1347 S ELDORADO ST RP/DBA <br /> STOCKTON,CA 95206 RPAddress 1327 S WILSON WY <br /> Cross Street EL,DORADO 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 :209-373-6077 EXT: CELL <br /> Phone ;2.09-463-9242 Work Phone :209-373-6080 EXT: A SALES <br /> District 001 -VILLAPUDUA Location Code 01 -STOCKTON <br /> APN 14716030 <br /> Date Abatedf InsP ector. <br /> --- � <br /> — `- ' ----- — --- — ------ <br /> Send <br /> --. ----Send Referral to Referral Letter Sent by <br /> Referral Address — Date: <br /> Complaint Status Code: 0 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED. 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE:ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 2B-FOODBORNE ILLNESS -No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104.rp1 <br />