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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00053797 Site Location: 2593 W MARCH LN Account ID: AR0002008 <br /> Received by: EE0000014 MORENO Received Date: 5/13/2021 Print Date: 5/13/2021 11:30:59AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 5/13/2021 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: STOCKTON FIRE <br /> Home Phone 209-4644648 <br /> E-Mail Address <br /> Nature of complaint: <br /> KITCHEN FIRE(FIRE EXTINGUISHER USED)NEED ENVIRONMENTAL HEALTH TO RESPOND. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ---------------------------------------------- - --- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002000-ELTORITO RESTAURANT RPDBA <br /> Site Location 2593 W MARCH LN RP mailing address <br /> STOCKTON,CA 95209 <br /> Cross Street QUAIL LAKES <br /> Mailing address 11065 KNOTT AVE STE A RP contact <br /> CYPRESS,CA 90630 RP contact phone <br /> Phone 209-957-6891 EXT: <br /> Owner: OW0001568-FM RESTAURANTS HOLDCO LLC <br /> DBA EL TORITO RESTAURANT <br /> Owner address 11065 KNOTT AVE STE A <br /> CYPRESS,CA 90630 <br /> Billing Address 11065 KNOTT AVE STE A <br /> CYPRESS,CA 90630 <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 J I ZI � Inspector ID#: �' Y Z 0 <br /> —T �F' <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: o <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 Reqired-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 /> h <br /> omp aint Reviewed by: ,. W ate: pdate y: <br /> 5104.rpt <br />