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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00014811 Site Location: 1205 S MAIN ST Account ID: AR0009371 <br /> Received by: EE0000794 MATHEW Received Date: 9/8/2000 <br /> Assigned To: EE0000794 MATHEW Assigned Date: 9/8/00 <br /> Procram/Element Code: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Complainant: <br /> <br /> Nature of complaint: <br /> ON AUG 20 ATE CAJUN CHICKEN SANDWICH AT LUNCH AND BECAME ILL ON AUG 28th WITH DIARRHEA,ABDOMINAL CRAMPS, FEVER <br /> AND DIAGNOSED WITH SALMONELLA ON THE 29th. <br /> Complaint Mode A Complaint Mode Codes A-Agency Refers B-Bd of Supervisors/City C-Count( E-Code EnforcerrE <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0006792-MCDONALDS#15019 OW0000446-SCHRADER, DON <br /> RPDBA: MCDONALDS <br /> Site Location: 1205 S MAIN ST RP Address: 4502 GEORGETOWN PL 202 <br /> MANTECA,CA 95336 <br /> STOCKTON,CA 95207 <br /> Mailing Address 4502 GEORGETOWN PL#202 Billing Address: 4502 GEORGETOWN PL#202 <br /> STOCKTON,CA 95207 STOCKTON, <br /> Phone 1st: 209-367-0640 Phone <br /> Wk: 209-478-0234 <br /> District 005-CABRAL, ROBERT Location Code 04-MANTECA <br /> APN rr� <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <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 /> - Enforcement Action Initiated 50- Lead Hazard Evaluation Required(1) <br /> HD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> eferred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> Tn <br /> valid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> )oodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />