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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00036286 Site Location: 3201 W BENJAMIN HOLT DR STE 18 AccountlD.- AR0005124 <br /> Received by: EE0009058 LOWE Received Date: 4/17/2013 Print Date: 4/17/2013 11;06:34AM <br /> Assigned To: EE0000149 BORGES Assigned Date: 4/17/2013 <br /> Program/Element Lode:1600-FOOD PROGRAM <br /> Complainant: ;ANON Home Phone ; <br /> Address Work Phone <br /> E <br /> -Mail Address <br /> Nature of complaint: <br /> COCK ROACH INFESTATION <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral' B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> ----------------------------------- - ------ ------- <br /> FACILITY <br /> —— ———— ——— —— ——— ——— ——— ——— <br /> i FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001790-SU8WAY SANDWICHES Owner: OW0014445-KAHLON,JAGWINDER K <br /> Site Location 3201 W BENJAMIN HOLT DR STE 18 RP/DBA SUBWAY <br /> STOCKTON,CA 95219 RP Address 1840 CHATFIELD CIR <br /> Cross Street STOCKTON,CA 95209 <br /> Mailing Address: 3201 W BENJAMIN HOLT DR STE I8 Billing Address I840 CHATFIELD CIR <br /> STOCKTON,CA 95219 STOCKTON,CA 95209 <br /> Nome Phone ;209-955-1842 <br /> Phone ;209-952-8873 Work Phone ;209-952-8873 <br /> District Location Code <br /> APN <br /> Date Abated J z 3l I -f Inspector ID#.,' <br /> # — T—— <br /> Send Referral to Referral Letter Sent by —— —--— <br /> II Referral Address Date: <br /> JI <br /> Complaint Status Code: <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# j <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> i 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 /> I <br /> OEHD 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 SU BSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> i <br /> I <br /> 5104 rpt <br />