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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032670 Site Location: 678 N WILSON WAY 42 Account ID: AR0004691 <br /> Raceived by: EE0001788 CASTANEDA Received Date: 9/2412010 Print Date: 9/24/2010 2:47:06PM <br /> Assigner!70: EE0001420 MENDE Assigned Date: 9/24/2010 <br /> ProgramlElement Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of com laint. <br /> ION 9124110,(C)ATE SHRIMP AND WHITE RICE AT FACILITY. TWENTY MINUTES LATER,(C)BECAME ILL WITH VOMITING AND DIARRHEA. <br /> (C)DID NOT NOTIFY FACILITY OR SEE A DOCTOR. "'(C)REQUESTS A CALL BACK FROM INSPECTOR AFTER INSPECTION. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet 1 Email S-Sheriffs Office <br /> —--------- ——————— <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002466-SUN KING RESTAURANT Owner: OW0001884-HUANG,YONG Q <br /> Site Location 678 N WILSON WAY 42 RPIDBA <br /> STOCKTON,CA 95205 RP Address 421 E SONORA ST <br /> Cross Street WILSON STOCKTON,CA 95203 <br /> Mailing Address: 678 N WILSON WY STE#42 Billing Address 421 E SONORA ST <br /> STOCKTON,CA 95205 STOCKTON,Cil 95203 <br /> Home Phone :209-941-4610 <br /> Phone :209465-3829 Work Phone :209-465-3829 <br /> District 001 -VILLAPUDUA Location Code 01-STOCKTON <br /> APN 1412900/5` <br /> Date AbatedVf; y—1c) Inspector, <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: o� <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 /> G06 <br /> NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDlUNSECURED-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 /> I <br /> 510 .rpt <br />