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r ' ti Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00025883 Site Location: 140 E HARDING WAY Account ID: AR0001468 <br /> Receivedby: EE0003600 13LACKWELL Received Date: 2/12/2007 <br /> Assigned To: EE0003474 VEGA Print Date: 2/12/2007 3:02:52PM <br /> Assigned Date: 2112/2007 l <br /> P ram/Element Code:1600-FOOD PROGRAM <br /> �+n <br /> Complainant. : PATRICIA HAMILTON L u 111/ <br /> Nome Phone C�] <br /> Address <br /> Work Phone <br /> Nature of Com taint: <br /> ON 2/12107 AROUND i PM,(C)OBSERVED A CUSTOMER DROOL IN THE FOOD AS HE WENT ALONG THE BUFFET/SALAD BAR AND MAIN <br /> COURSE AREAS. A 2ND PATRON USED FINGERS TO PICK-UP FOOD FROM THE BUFFET LINE. (C)AND ANOTHER WOMAN VOMITED IN <br /> THE SALAD BAR UPON OBSERVING BOTH INCIDENTS. (C)STATES THE FOOD WAS NEVER REPLACED,NOR WAS ANYTHING CLEANED UP <br /> (INCLUDING THE VOMIT). WOMEN'S RESTROOM HAD USED DEPENDS AND FECES ON THE FLOOR. (C)COMPLAINED TO FOUR OR FIVE <br /> EMPLOYEES BEFORE LEAVING. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/Ci Council <br /> P City C-Counter <br /> --- — <br /> —— E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION — — — —— — <br /> OWNER INFORMATION <br /> Facility:FA0001469-GONGS RESTAURANT Owner: OW0001146-LEI,PAUL <br /> Site Location 140 E HARDING WAY RP/DBA GONGS RESTAURANT <br /> STOCKTON,CA 95204 RPAddress 5207 BARBADOS CT <br /> STOCKTON,CA 95210 <br /> Mailing Address: 140 E HARDING WAY Billing Address 5207 BARBADOS CT <br /> STOCKTON,CA 95204 STOCKTON,CA 95210 <br /> Home Phone <br /> Phone :209-464-0953 Work Phone <br /> District 001 -GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APIV 13902015 <br /> Date Abated Z z0&Z Inspector., 3 <br /> 7 <br /> Send Referral to ——-- --— Referral Letter Sent by —--— — —— <br /> Referral Address <br /> Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 00ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 606 EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> �'1f1rarrCl�.1/�r <br /> 00� rtNcompleted �qJo <br /> 5104.rpt <br /> 3 <br />