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Complaint Investigation Form Report#: 5104 <br />COMPLAINT ID: C00046806 Site Location: 1110 W KETTLEMAN LN #1 Account ID: : <br />Received by: EE0000025 SEDRA <br />Assigned To: EE0000753 NG <br />Program/Element Code:1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />(CUSTOMER OBSERVED PERSONNEL RETURNING CHEESE FONDUE, BUTTER AND SOUR CREAM TO LARGE CONTAINERS FOR <br />RE -SERVICE. ORIGINAL COMPLAINT NUMBER 91-0045 DATED 1/17/91 <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 / Correspondence O -Other EH Unit P -Phone <br />[-Internet / Email S -Sheriffs Office <br />PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br />Property Name: DINOS STEAK HOUSE <br />Site Location 1110 W KETTLEMAN <br />LODI, CA 95240 <br />Cross Street HAM <br />Phone <br />District 004 - WINN, CHARLES <br />APN 06037013 <br />Responsible Party or Property Owner: GUS <br />RP/DBA DINOS STEAK HOUSE <br />RP Address <br />Billing Address <br />Home Phone <br />Work Phone <br />Location Code 02 - LODI <br />Date Abated(� ' r Inspector ID #: ( 1 <br />Send Referral to L Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code: <br />Circle appropriate Status Code <br />01 - Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />('99)r UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 -Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />omp amt eviewedy at p ate ate <br />J JV +- 7 <br />5104 rpt <br />