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Complaint Investigation Form I Report#:5104 <br /> COMPLAINT ID: C00015716 Site Location: 8014 LOWER SACRAMENTO RI Account ID: AR0020350 <br /> i <br /> Received by: EE0006519 DISA Received Date: 3/29/2001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 3129101 <br /> Program/Element Code: 1613-FOOD EST 501-1000 SQ FTW/O SEATING <br /> Complainant: <br /> <br /> Nature of complaint: <br /> HUSBAND AND WIFE ATE WHITE RICE,CHICKEN WINGS,AND CHICKEN AND VEGETABLES ABOUT 4:30 TO 6:30 PM.ABOUT 12:30 <br /> BOTH BECAME ILL WITH DIARRHEA,WIFE ALSO HAD CRAMPS. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council 4 E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0012482-CHINA EXPRESS(AT FOOD 4 LESS) Owner: OW0009685-QUINN,JOHN IF <br /> RP/DBA: CHINA EXPRESS <br /> Site Location: 8014 LOWER SACRAMENTO RD K <br /> RP Address: 255 E MARCH LN <br /> STOCKTON,CA 95207 <br /> STOCKTON,CA 95207 <br /> Mailing Address: 8014 LOWER SACRAMENTO RD STE K , <br /> STOCKTON,CA 95207 Billing Address:: 255 E MARCH LN i <br /> STOCKTON,CA 95207 <br /> Phone: 1st: 209-956-3270 Phone: Hm: 209-957-4917 T <br /> Wk: Number Not Specified <br /> District 003-MOW,VICTOR Location Code 01 -STOCKTON ! <br /> APN j. <br /> Date Abated 3a 01 <br /> Inspector I <br /> Send Referral to: <br /> Referral Address: <br /> i <br /> Referral Letter Sent by. <br /> Date: <br /> Complaint Status Code: i <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 /> 05-Enf orcement Acti on Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory (4) <br /> 08 1 valid 1 Unable To Verify 51 -Lead Hazard Work Plan Subm itted,(2) <br /> 09oodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 4 -Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12- Enforcement Case-Transferred To LIQUID WASTE File 55- Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />