Laserfiche WebLink
Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00024644 Site Location: 4555 N PERSHING AVE STE 18C Account ID: <br /> Received by: EE0090753 MARTINEZ <br /> Received Date: 6/14/2006 Print Date: 6/14/2006 12:29:OOPM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 6/14/2006 <br /> Program/Element Code:1600-FOOD PROGRAM SC�r <br /> Complainant: ; BROOK GUIDOLIN Home Phone : 209 609-3411 <br /> Work Phone <br /> Address <br /> Nature of complaint: <br /> ON 6113106 @ 8 PM,(C)WENT TO FACILITY AND ORDERED TAKE OUT: 4 STEAK TACOS,AND RICE&BEANS. SHE FOUND A MAGGOT IN <br /> THE RICE. (C)IS A 29 YR OLD FEMALE. '"SEE ATTACHED INTERNET DIRECTORY ASSISTANCE FOR LISTING... ENVISIONS HAS NO <br /> FACILITY ON FILE AT ABOVE REFERENCED ADDRESS. ALSO NO NEW SERVICE REQUEST IN ENVISIONS EITHER. <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 1 Correspondence O-Other EH Unit _ P-Phone_J <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 4555 N PERSHING RP/DBA TAQUERIA CAROLINA NO 3 <br /> STOCKTON,CA RP Address 4555 N PERSHING STE#18C <br /> STOCKTON,CA <br /> Billing Address 4555 N PERSHING STE#18C <br /> Home Phone :209-474-0386 <br /> Phone Work Phone <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN <br /> Date Abated 6 Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: +D <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-EHO 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 /> 0a-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 /> G Complaint History <br /> Attached But Not <br /> Scanned <br /> jjjjj �A <br /> 5104.rpt <br />