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Ik R~j i <br /> - Complaint Investigation Form Report#: 5104 <br /> 1:t <br /> r� <br /> COMPLAINT ID: C00040753 Site Location: 4555 N PERSHING AVE Account 10, AR0004994 <br /> Received by: EE0000001 TURKATTE Received Date: 12/212015 Print Date: 12/2/2015 9:26:20AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 12/2/2015 <br /> Emmml lement Codwl 600-FOOD PROGRAM <br /> Complainant: :LETICIA GARCIA Nome Phone <br /> Address Work Phone <br /> Mai!Address LEI 189777(a.)OMAIL.COM <br /> Mature of complaint: <br /> COMPLAINANT WAS AT FACILITY ON 11/28/2015 AND ALLEGES THAT THE RESTAURANT IS REUSING THE PAPER TRAYS USED FOR THE <br /> CHIPS,EMPLOYEES ARE GOING IN AND OUT OF THE RESTROOM WHILE STILL WEARING THEIR APRONS AND KITCHEN TOWELS, <br /> UTENSILS HAD FOOD RESIDUE ON THEM.PEOPLE WALK INTO THE KITCHEN AND PREP AREAS WHILE HAVING DRINKS AND ARE USING <br /> DIRTY TOWELS TO GRAB FOOD TRAYS FOR CATERING PARTIES. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Ot her EH Unit P-Phone <br /> I-Intemet I Email S-Sheriffs Office <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 I8C RPIDBA CAROLINA/LOS TRES PRIMOS <br /> STOCKTON,CA 95207 RP Address 2406 HANNA BAY CT I <br /> Cross Street MARCH STOCKTON,CA 95210 <br /> Mailing Address: 4555 N PERSHING AVE STE 18C Billing Address 2406 HANNA 13AY CT <br /> STOCKTON,CA 95207 STOCKTON,CA 95210 <br /> Nome Phone :209-951-3972 <br /> Phone :209474-0386 Work Phone :209474-0386 <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date Abated Inspector ID#: <br /> --------- — ------------- — `———— ------ ---- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Coded. <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 /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 05-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 MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Welt Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp arnt evrewe y: ate: p ate y: ate: <br /> 15 <br /> 5104.rpi <br />