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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038364 Site Location: 1347 EL 'DORADO ST Account ID AR0007910 <br /> Receivedby: EE0001788 CASTANEDA Received Date. 8/14/2014 Print Date 8/14/2014 4:49:20PM <br /> Assigned To EE0003361 FLOHRSCHUTZ Assigned Date: 8/14/2014 <br /> Program/Element rode:1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofCOm faint: <br /> SEWER SMELL IN DINING ROOM AND ENTRY TO RESTAURANT <br /> Complamr Made. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Counvi C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet i Emai I S-Sheriffs Office <br /> ----------- --- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Faci1itw: FA0006409-RESTAURANT EL GRULLENSE Owner. OWOOOI 107-RASIL G INC <br /> Site Location 1347 S EL DORADO ST RP/DBA <br /> STOCKTON,CA 95206 RPAddress 1327 S WILSON WY <br /> Gross Street ELDORADO 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 :204-463-9242 Work Phone :209-373-6080 EXT: A SALES <br /> District 001-VILLAPUDUA Location Code <br /> APN 14716030`X� �] <br /> Date Abated `' —" "' I C-4 J inspector/0#: F L D 1' AA4 z— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: /) <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessmen t Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record File <br /> DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 6 EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <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 /> s 1 e4 rp� <br />