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V\ Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00013507 Site Location: 678 N WILSON WAY Account ID: ARoo14622 <br /> I <br /> Received by: EE0009157 BARCELLOS Received Date: 1/6/2000 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 116100 <br /> ProgramlElement Code:. FOOD PROGRAM <br /> I= Complainant: <br /> : <br /> Nature of complaint: <br /> CALL COMPLAINANT FOR INFORMATION,ATE PIZZA FROM STORE AND GOT SICK THE NEXT MORNING WITH DIARRHEA <br /> Complaint Mode Complaint Mode Codes A-Agency Refern B-Bd of Supervisors/City C-Count( E-Code Enforcem( <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0007931 -PAPA MURPHYS TAKE N BAKE PIZZA OW0001169-4 U SMC INC I <br /> RP DBA: PAPA MURPHYS TAKEN BAKE PIZZA <br /> Site Location: 678 N WILSON WY 38 RPAddress: 489 GRINDSTONE ST <br /> STOCKTON,CA 95205 WOODBRIDGE,CA 95258 <br /> Mailing Address 678 N WILSON WY STE 38 Billing Address: 489 GRINDSTONE ST <br /> STOCKTON,CA 95205 STOCKTON, <br /> Phone 1st: 209-943-7272 Phone Hm: 209-333-7889 <br /> E Wk: Number Not Specified <br /> District Location Code <br /> i <br /> APN <br /> Date Abated 1� t <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> i <br /> F <br /> Referral Letter Sent by., <br /> Date: <br /> Complaint Status Code: D `N <br /> 01 -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 /> Q6 EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> P <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08- Invalid/Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) i <br /> 09- 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 /> 0104.rpt <br />