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S Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00018811 Site Location: 2211 N WILSON WAY ACCountlD: AR0001526 <br /> Received by: EE0003027 NGUYEN Received Date: 3/31/2003 <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 3/31/2003 n <br /> Program/Element Code: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Complainant: DANIELLE Nome Phone: <br /> Address: Work Phone: 916-410-6901 <br /> mP. S?_ex.� <br /> I <br /> Nature of complaint. 3 p 011 <br /> OAS-93/•24 @ 1:00PM 3 PEOPLE ATE THERE AND 2 GOT SICK AT ABOUT 6:00PM 1 CALLS N ICK TO WORK SO THEY WERE NOT SURE <br /> IF THAT PERSON GOT SICK FROM THE FOOD. DIZZY,VOMITING,&DIARRHEA.SAME YSTOMS.. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors, i il <br /> y ouncE-Code Enforcement <br /> M-MaillCorrespondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001527-FAR EAST CAFE Owner: OW0001191 -CHEUNG KAU YEN&SAU SHEUNG SH <br /> RPIDBA: FAR EAST CAFE <br /> Site Location: 2211 N WILSON WAY RPAddress: 5846 ST THOMAS CT <br /> STOCKTON,CA 95205 <br /> STOCKTON,CA 95290 <br /> Mailing Address: 2211 N WILSON WAY <br /> STOCKTON,CA 95245 Billing Address:: 5846 ST THOMAS CT <br /> STOCKTON,CA 95210 <br /> Phone:1st: 209-463-4478 Phone: <br /> Wk: 209-463-4478 <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Date Abated — <br /> Inspector /Ind( � <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date. <br /> Complaint Status Code: g <br /> 1, Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 0� Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> f[98}Invalid I Unable To Verity 51 -Lead Hazard Work Plan Submitted(2) <br /> ``p0gg Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rpt <br />