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Complaint Investigation Form Report#:5104 <br /> COMPLAINTID: C00040060 rflite Location: 10$ E 11TH ST Account 1D: AR0002675 <br /> Received by: EE0000025 SEDRA Received Date: 7/2212015 Print Date: 7/22/2015 3:47:15PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 7122/2015 <br /> Pmwm/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ORDERED A HAMBURGER AND STATED THAT IT TASTED BAD.COMPLAINANT RETURNED IT TO THE COUNTER AND AN <br /> EMPLOYEE TOLD COMPLAINANT THAT THEY HAD A DELIVERY OF RANCID MEAT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> I-Intemet f Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003112-JOHNNYS DINER&CREAMERY 42 Owner: OW0006084=MACHUCA,GABRIELA RODRIGUEZ <br /> Site Location 108 E 11TH ST RP/DBA JOHNNYS DINER&CREAMERY#2 <br /> TRACY,CA 95376 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 2351`73001/2+ <br /> Date Abated F r / 2 i rS Inspector ID#: <br /> Send Referral to 1 d` Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <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 Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-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 SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp amt Reviewed by: ate: Updated by, ate: <br /> 5104.rpt <br />