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Report#:5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: 000015631 Site Location: 7824 THORNTON RD Account ID: AR0004844 <br /> Received by: EE0006519 DISA Received Date, 3113!2001 <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 3114/01 <br /> Program/Element Code: 1614-FOOD EST>1001 SQ FT W/O SEATING <br /> i <br /> Complainant: <br /> <br /> Nature of complaint. <br /> AT 7:00 PM 2 ADULTS&2 CHILDREN ATE COMBO PIZZA, HUSBAND BECAME ILL ABOUT 11:30 PM,CRAMPING&VOMITING,BABY <br /> BECAME ILL ABOUT 2:00 AM, MOTHER LATER IN MORNING, LAST CHILD ABOUT NOON THE NEXT DAY,.ALL HAD CRAMPING AND <br /> VOMITING. I` <br /> Complaint Mode P Complaint Mede A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> I' <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION I. <br /> Facility: FA0002679-PAPA MURPHYS TAKE N BAKE PIZZA Owner: OW0001169-4 U SMC INC <br /> RP/DBA: PAPA MURPHYS TAKE N BAKE PIZZA <br /> Site Location: 7824 THORNTON RD J <br /> RP Address: 489 GRINDSTONE ST <br /> STOCKTON,CA 95209 WOODBRIDGE,CA 95258 <br /> Mailing Address: 7824 THORNTON RD :' <br /> STOCKTON,CA 95209 Billing Address:: 489 GRINDSTONE ST <br /> STOCKTON,CA 95258 <br /> Phone: 1st: 209-951-9970 Phone: Hm: 209-333-7889 ' <br /> Wk: 209-369-5765 <br /> District 003-MOW,VICTOR Location Code 01 -STOCKTON <br /> APN <br /> Date Abated -of <br /> Inspector <br /> UU <br /> Send Referral to: <br /> Referral Address: <br /> i' <br /> Referral Letter Sent by.- <br /> Date: <br /> Complaint Status Code: 0 <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-NAt Sent 16-Letter Sent To Tenant <br /> 04- Notice To Abate Issued 17- 15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50- Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> Invalid!Unable To Verify 51 -Lead Hazard Work Plan Submitted'(2) <br /> D3 <br /> 09 Foodborne 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 WlSoil Contamination <br /> 14- Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt i <br />