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7 1 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C 0026633 Site Location: 4555 N PERSHING AVE 5 Account ID: AR0004765 Report#7 5104 <br /> Received by <br /> EE0000467 CARRUESCO <br /> d Date' 7/10/2007 Prnt Date: 7/11/2007 8:17:25AMAscig To: EE0000149 BORGES Assigned Date <br /> 7/10/2007 <br /> PrUtzramIlDement Code-1600-FOOD PROGRAM <br /> Complainant: : DONELLE,PH CD VMNED <br /> Address ; Home Phone ; <br /> Work Phone <br /> Na=DIAGNOSED <br /> int: <br /> E SHRIMP TEMPURA AND SESAME CHICKEN DURING THE WEEK OF JUNE 11TH. BECAME ILL ON JUNE 16TH AND <br /> TH SALMONELLA ON JULY 7TH, <br /> Complaint Mode: AA-Agency Referral B-Bd of Su ervisors/Ci Council <br /> p ty C-Counter <br /> Complaint Mode Codes <br /> ----------- <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION —————— --—— <br /> OWNER INFORMATION <br /> Facility:FA0002508-TORA SUSHI Owner: OW0001913-HOANG,BAO <br /> Site Location 4555 N PERSHING AVE 5 RP/DBA TORR SUSHI <br /> STOCKTON,CA 95207 RPAddress 9523 THORNTON RD <br /> STOCKTON,CA 95209 <br /> Mailing Address: 9523 THORNTON RD Billing Address 9523 THORNTON RD <br /> STOCKTON,CA 95209 STOCKTON,CA 95209 <br /> Home Phone <br /> Phone :209-952-0164 Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 01-STOCKTON <br /> APN 11017001 --�j <br /> Date Abated / '1 Inspector. <br /> 0_�eA <br /> Send Referral to / Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: oi� <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-END 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 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identifiecomplaint History <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint Attached But Not <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Leiter Sent-Alleged Complaint Scanted <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 5104 rpt <br />