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141y) Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039834 Site Location: 4555 N PERSHING AVE STE 18C Account ID: AR0004994 <br /> Received by: EE0000467 CARRUESCO Received Date: 6/11/2015 Print Date 6/11/2015 11:26:39AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 6/11/2015 <br /> Program/Element rode 1600-FOOD PROGRAM <br /> Complainant- JOSEFINA LOPEZ Home Phone <br /> Address Work Phone <br /> Mail Address a <br /> Nature of complaint: <br /> COMPLAINANT'S COLLEAGUE VISITED THE RESTAURANT AGAIN AND NOTICED THE CHIP TRAYS ARE STILL BEING DUMPED BACK INTO <br /> THE CHIP WARMER AND BEING RE-SERVED.THE"LADIES NOT WEARING HAIR NETS OR GLOVES WHEN TOUCHING FOOD AND PASSING <br /> THE FOOD OUT WITH A VERY DIRTY OLD TOWEL AND SERVING IT TO THE TABLES".THE PLATES SEEMED TO BE DIRTY LIKE THEY <br /> WEREN'T PROPERLY BEING WASHED,THERE WAS A PIECE OF RICE AND BEANS SMEARED ON THE BOTTOM OF THE PLATE. <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-Intemet/Email S-Sheriffs Office <br /> - - ------ — -- -- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0004641-CAROLINA/LOS TRES PRIMOS Owner: OW0015183-ANGULO,SERGIO&VALLE,JUAN <br /> Site Location 4555 N PERSHING AVE STE 18C RP/DBA CAROLINA/LOS TRES PRIMOS <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 :209474-0386 <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date Abated I !� Inspector ID#: <br /> - - -- <br /> Sendd Referral to —-- — 21��----1------ -------- — <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle 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 Regired-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 /> ompaint Reviewed by to f Late IF Updated y: ate; <br /> Find mt <br />