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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00050405 Site Location: 2593 W MARCH LN Account ID: AR0002008 <br /> Received by: EE0000467 CARRUESCO Received Date: 9/3/2019 Print Date: 9/3/2019 12:49:1411M <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 9/3/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT DINED AT FACILITY ON 8/30/19 FOR DINNER AND ALLEGES THAT A ROACH CRAWLED ACROSS THE TABLE. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ---------- ------------------------------------- --- - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002000-EL TORITO RESTAURANT RP DBA <br /> Site Location 2593 W MARCH LN RP mailing address <br /> STOCKTON,CA 95209 <br /> Cross Street DA VINCI <br /> Mailing address 5660 KATELLA AVE#200 RP contact <br /> CYPRESS,CA 90630--505 RP contact phone <br /> Phone 209-957-6891 EXT: <br /> Owner: OW0001568-FM RESTAURANTS HOLDCO LLC <br /> DBA EL TORITO RESTAURANT <br /> Owneraddress 5660 KATELLA AVE#200 <br /> CYPRESS,CA 90630--505 <br /> Billing Address 5660 KATELLA AVE#200 <br /> CYPRESS,CA 90630--505 <br /> Home Phone 562-346-1278 <br /> Work Phone 562-346-1200 EXT: <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11222037) <br /> Date Abated C16 11 _1 Inspector ID#: 2 ,� <br /> Send Referral to l( Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by.-- ate: p ated by: : <br /> (� r I <br /> 5104,rpt <br />