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y I <br /> Complaint Investigation Form I Report#:5104 <br /> COMPLAINT ID: C00015682 Site Location: 1464 W YOSEMITE AVE Account ID, AR0000951 <br /> Received by: EE0005366 MEDINA Received Date: 3/22/2001 � <br /> <br /> <br /> <br /> <br /> Work Phone: - <br /> <br /> Nature of complaint: <br /> ALLEGEDLY THREE EMPLOYEES DIAGNOSED WITH MENINGITIS ARE PREPARING FOOD. MANAGER WAS ORIGINALLY DIAGNOSED <br /> AND NOW TWO OTHER EMPLOYEES HAVE BEEN DIAGNOSED. 1 <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Councili` E-Cade Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000954-ROUND TABLE PIZZA Owner: OW0000119-H&H PIZZA,INC <br /> RP/DBA: ROUNDTABLE PIZZA <br /> Site Location: 1464 W YOSEMITE AVE <br /> RP Address: 31 E 6TH'ST <br /> MANTECA,CA 95336 <br /> TRACY,CA 95376 <br /> Mailing Address: 31 E 6TH ST <br /> TRACY,CA 95376 Billing Address:: 31 E 6TH ST <br /> TRACY,CA 95376 <br /> Phone: 1st: 209-825-5125 Phone: Hm: 209-333-3755 <br /> Wk: 209-832-8030 <br /> District 005-CABRAL, ROBERT Location Code 04-MANTECA <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: d <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-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (5) <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 /> 9 <br /> 0104.rpt <br />