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Y <br /> } Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038251 Site Location: 4555 N PERSHING AVE STE 18C Account ID: AR0004994 <br /> Receivedby: EE0009058 LOWE Received Date: 7/17/2014 Print Date: 7/17/2014 4:17:37PNI <br /> Assigned To EE0003361 FLOHRSCHUTZ Assigned Date: 7/17/2014 <br /> Program/Element Code.1600-FOOD PROGRAM <br /> Complainant: :LAURA LOPEZ Home Phone <br /> Address Work Phone <br /> L- ilAddress ;acro a gotmat.corn <br /> Nature of complaint: <br /> RE-USING FOOD,DIRTY UTENSILS ETC,ETC, ETC.SEE ATTACHED E-MAIL VIA INTERNET. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/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 /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0004641-LOS TRES PRIMOS TAQUERIA Owner: OW0015183-ANGULO,SERGIO&VALLE,JUAN <br /> Site Location 4555 N PERSHING AVE STE 18C RP/DBA LOS TRES PRIMOS TAQUERIA <br /> STOCKTON,CA 95207 RP Address 2406 HANNA BAY CT <br /> Cross Street STOCKTON,CA 95210 <br /> Mailing Address: 4555 N PERSHING AVE STE 18C Billing Address 2406 HANNA BAY CT <br /> STOCKTON,CA 95207 STOCKTON,CA 95210 <br /> Home Phone :209-951-3972 <br /> Phone :209-474-0386 Work Phone :209-474-0386 <br /> Distract 002-RUHSTALLER,LARRY Location Code <br /> APN 11017001 <br /> ——Date Abated——— = 8- 19 Inspector ID#: F L O <br /> 1 Z <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:O� <br /> "ircle appropriate Status Code _ <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06 EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints -SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />