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Complaint Investigation Rep ort#: 5104 <br /> CbMPLAINT ID: C00033342 Site Location: 5648 N EL DORADOS (cx m Account ID: AR0002179 <br /> Received by: EE0000467 CARRUESCO Received Date: 3/25/2011 Print Date 3/28/2011 8:11:33AM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 3/28/2011 <br /> ProoramlElement Code:1600-FOOD PROGRAM <br /> Complainant: : KERRY SULLIVAN,CDD Home Phone <br /> Address Work Phone - <br /> E-Mail Address <br /> i <br /> Nature of complaint. <br /> THE CAFETERIA IS EXTREMELY UNSANITARY. <br /> F� <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-13d of Supervisors i City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sherifrs Office <br /> ------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002168-ST MARYS HIGH SCHOOL Owner: OW0001686-ST MARYS HIGH SCHOOL <br /> Site Location 5648 N EL DORADO ST RP/DBA ST MARYS HIGH SCHOOL <br /> STOCKTON,CA 95207 RP Address 5648 N ELDORADO <br /> Cross Street ELDORADO STOCKTON,CA 95207 <br /> Mailing Address: PO BOX 7247 Billing Address 5648 N EL DORADO <br /> STOCKTON,CA 95267-0247 STOCKTON,CA 95207 <br /> Nome Phone I <br /> Phone :209-957-3340 Work Phone y <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> APN 10209001 <br /> Date Abated ? �O�l�b� _ Inspector: <br /> --------------Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 56-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 6- HD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 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 Comptaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE;-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 51 frpt <br />