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n�i-.= rtjT, 1 /OR/gR SAN JOAOJTN -njJNTY PUBLIC HFAL.TH SERVIC. Report 45104 <br /> Pun EKY : DENORAPage # 11 <br /> Copy # . 01 01 -OMPI ATNIT INVFSTIGATT,ON RFPORT <br /> MMA'1�lMMMMf~'!!'11�INfMMM�'fM1`'!M�'1�'f�'!f'�1�'fNINfP'ff~'f1''{7�NINf1�f�'1�`fly'f.��INIMNlNl1'JP1MNlf~'If'elf''lMl�lPlt�'!1''11�i1''f1vfF'!N!1~?��fh1NU`'1P1!`'!N!1','MJ'7T�NlM���'lP1�11�1t�f�'f <br /> COMPLAINT # = C001.1.366 Program/Element,": 1626 <br /> Taken by : 7829 GA&AZA Date: 12/08/98 Assigned to 0467 CARRUESCO Date: 12/08/99 <br /> Hard Copy Printed' <br /> a <br /> Facility Name : 1,IT.Tl., .,_,J FS OF ..L� P.T.. Fac ID: 003926 <br /> BILL to inventoried FACILITY. <br /> Location= 1230 W KPTTI .FMAN LN (Must have FACILITY ID#) <br /> r;nmplainant ' Phone : <br /> Address : C EMPLOYEE-11) Work Phone ' <br /> rip <br /> FACILITY LOCATION/Property Info — )(V <br /> '-�RA or Name: 1 ,TTT1_E DOES OF LODI Loc Code : 02 <br /> Address : 1230 W KETTLEMAN LN BOS Dist : 004 <br /> City : l nF)T 95240 APS! # a <br /> Phone : 209-333-1554 <br /> i <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : NELSON , CHERYL- _ glome Phone : 209-334---3400 <br /> Ad�ire� s' RI-71 PERRY WAY Work Phone : 209-333-1554 <br /> City ' LODI CA 95240 <br /> Nature of Complaint: <br /> ROAHCES IN KITCHEN , VERY DIRTY KITCHEN it <br /> y <br /> COMPLAINT Info -- <br /> COMPLAINT MODE: P PRONE <br /> A-Agency Referral 8-5D OF SuPervi'sors/City CCOUnCil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMpLAINT STATUS: <br /> % <br /> 01-Meld Abated 02-Office Abated 03-NAI Sent 04-N,a+i._ to Abate Issued 05-Enforce ACT initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency ('06-yot Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Ref eT-r a 1 Let ter Sent by: Date: Y_ <br /> circle appropriate Unit @ if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E 'updated <br /> i <br /> Po*karded +e +"JI?= II III IV for Investigation J <br />