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Complaint Investigation m Report#:51 D4 <br /> COMPLAINT ID: C00034425 Site Location: 5648 N EL DORADO SAccount ID. <br /> Receivedby: EE0007636 HERAN Received Date: 12/17/2011 Print Date.12/19/2011 11:38:31AM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 12/19/2011 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :SAM COSTA VIA EMAIL Home Phone <br /> Address Work Phone <br /> E-MailAddress samcos ,yanw.com <br /> Nature of complaint. <br /> (C)STATES HIS CHILD PURCHASED A SMOOTHIE FROM A CART PARKED AT THIS ADDRESS. CART SAYS"RAM SHACK'ON OUTSIDE. AN <br /> HOUR AFTER CONSUMING SMOOTHIE,(C)'S CHILD BECAME ILL. (C)STATES CART IS DIRTY, DUSTY,AND IN POOR CONDITION. SEE <br /> ATTACHED EMAIL. "'INSPECTOR: (C)REQUESTS AN EMAIL BACK OF FINDINGS. ""'NOTE: ENVISIONS SHOWS A CLOSED FACILITY <br /> CALLED"RAMSHACK (CART),"-FA0020259. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sherifrs Office <br /> — — — — ————— —— -- - -_. __ . .. . ---------- <br /> PROPERTY <br /> ---_—PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 5648 N EL DORADO RP/DBA <br /> STOCKTON,CA 95207 RP Address <br /> Cross Street MAYFAIR&ROBINHOOD <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> APN 10209001 <br /> Date Abated i-`&- c/� Inspector ID <br /> ----------/---------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01- IELD ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 02-OFFICE ABATED 50-LEAD Assessment Perfomied-No Abatement Required <br /> 03-NAI SENT 52-LEAD Abatement Regired-See Program Record File <br /> 04-NOTICE TO ABATE ISSUED 97-Disaster Planning and Response <br /> 05-DA-ENFORCEMENT ACTION INITIATED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed J <br /> 07-REFERRED TO OTHER AGENCY <br /> 06-UNABLE TO VERIFY Q <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 /> 26-FOODBORNE ILLNESS-No Major Violations Identified <br /> sst .rpt <br />