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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00024266 Site Location: 4555 N PERSHING AVE <br /> Account ID: AR0004636 <br /> Received by.' EE0007541 FIELD <br /> Received Date: 4/3/2005 Print Date: 4/3/2006 2:19:59PM <br /> Assigned 70: EE0000149 BORGES Assigned Date: 4/3/2006 SCANNED <br /> Proram/Element Code:1600-FOOD PROGRAM �/�'+ <br /> Home Phone <br /> Complainant: : STEPHANY <br /> Work Phone :209-9:io-5368 <br /> Address <br /> Nature of complaint. <br /> (C)AND HER <br /> VOMITED AND HAD STOMACH ACHE, (C)A 7 PMO COMBINAN 411/06. TION PEPPERONI'S 4 YR OLD CHILD ATE <br /> ION PIZZA AND APPROXIMATE Y1H0 R LATERPIZZA AND APPROXIMATELY <br /> 2HOURS LATER <br /> NAUSEOUS. (C)&HER CHILD DID NOT GO TO DR. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> ---------------------------------------——————— <br /> FACILITY INFORMATION — OWNER INFORMATION <br /> Facility:FA0002529-JOHN'S INCREDIBLE PIZZA CO Owner: OW0011162-PARLET,JOHN <br /> Site Location 4555 N PERSHING AVE RP/DBA JOHNS INCREDIBLE PIZZA CO <br /> STOCKTON,CA 95207 RP Address I ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 <br /> Mailing Address: 1 ORCHARD STE 195 Billing Address 1 ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 LAKE FOREST,CA 92630-8314 <br /> Nome Phone :805-748-2694 <br /> Phone :209-952-0537 Work Phone :805-595-3333 <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN 11017001 It\� <br /> Date Abated `� —VIns ector: <br /> I / -------------------- <br /> Send <br /> --- ------ ------ — <br /> Send Referral to R rral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: / '> <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint History <br /> Attached But Not <br /> Scanned <br /> 5104.rpt <br />