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<*"� Complaint Investigation Form Report#:5104 <br /> gbmpL ID: C00032566 Site Location: 678 N WILSON WAY Account ID, AR0004645 <br /> s � <br /> Received by: EE0000467 CARRUESCO Received Date: 8/31/2010 Print Date: 8/31/2010 4:19:19PM <br /> Assigned To: EE0001420 MENDE Assigned Date: 8/31/2010 <br /> Program/Element Coda:1600 FOOD PROGRAM <br /> Complainant: : <br /> <br /> f <br /> Nature of complaint. <br /> FIVE(5)OF NINETEEN(19)CONFIRMED CASES OF CAMPYLOBACTER ATE MARQUEZ BROS EL MEXICANO QUESO FRESCO IN AUGUST. <br /> ***PLEASE FAX INSPECTION REPORT TO KAREN AT 209-468-8222*** <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> 1-Internet/Email S-Sherifrs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002463-FOOD 4 LESS* Owner: OW0001562-PAQ INC <br /> Site Location 678 N WILSON WAY RP/DBA <br /> STOCKTON,CA 95205 RP Address 8014 LOWER SACRAMENTO RD STE I <br /> Cross Street STOCKTON,CA 95210 <br /> Mailing Address: 17935 MURPHY PARKWAY Billing Address 17935 MURPHY PARKWAY <br /> LATHROP,CA 95330 LATHROP,CA 95330 <br /> Home Phone :209-9574917 <br /> Phone :209-957-4917 Work Phone ;209-858-0101 ; <br /> District 001-VILLAPUDUA Location Code 01 -STOCKTON <br /> APN 14129006 <br /> Date Abated q .J - Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:06 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUN SECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 51 D4 rpt <br />