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Complaint Investigation FormReport#;5104 <br /> COMPLAINT"ID: C00036619 Site Location: 678 N WILSON WAY Account ID. AR0004629 <br /> Received by: EE0090753 MARTINEZ Received Date: 7/3/2013 Print Date: 7/3/2013 10:26:43AM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 7/3/2013 <br /> P-092'VElement Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> -Mail Address <br /> Nature of complaint: <br /> FREEZERS BROKE DOWN ON SUNDAY-THE WORKERS WERE INSTRUCTED TO CONTINUE TO COOK AND SERVE THE THAWED SPOILED <br /> CHICKEN.AS OF YESTERDAY THEY WERE STILL COOKING THE CHICKEN <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors[City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Intemet t Email S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002462-EL POLLO LOCO#3307 Owner: OW0001417-NOR-CAL CHICKEN <br /> Site Location 678 N WILSON WAY STE3 RP/DSA EL POLLO LOCO <br /> STOCKTON,CA 95205 RPAddress 1202 TULLY RD STE C <br /> Cross Street WILSON MODESTO,CA 95350 <br /> Mailing Address: 1202 TULLY RD STE C Billing Address 1202 TULLY RD STE C <br /> MODESTO,CA 95350 MODESTO,CA 95350 <br /> Nome Phone ;209-545-2943 <br /> Phone :209-942-2144 Work Phone :209-951-4761 <br /> District 001-VILLAPUDUA Location Code 01-STOCKTON <br /> APN 14129003 <br /> Date Abated +� Inspector 1D <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0(0 <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br />