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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00017596 Site Location: 1230 W KETTLEMAN LN Account ID: AR0014570 <br /> Received by: EE0002514 MCGINNIS Received Date: 6/7/2002 <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 6/10/2002 <br /> Program/Element Code: 1626-RESTAURANT/BAR 101 +SEATS <br /> Complainant: DAVE SHERMAN Home Phone: 209-333-1239 <br /> Address: Work Phone: <br /> Nature of complaint: f <br /> AROUND 8:00 PM-HAD DINNER AT I HOP. HAD CHICKEN FRIED STEAK,WITH WHITE GRAVY, BAKED POTATOES, MINESTRONE SOUP <br /> AND MIXED VEGGIES. LATER BECAME ILL, DIAGNOSIS WITH SALMONELL. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0003926-IHOP Owner: OW0006538-SEVENTEEN FORTY EIGHT CO, INC <br /> RP/DBA: I HOP <br /> Site Location: 1230 W KETTLEMAN LN RP Address: 25020 STANFORD AVE 170 <br /> LODI,CA 95240 <br /> VALENCIA, CA 91355 <br /> Mailing Address: 1230 KETTLEMAN LN <br /> Billing Address:: 1230 KETTLEMAN LN <br /> LORI,CA 95240 LODI,CA 95240 <br /> Phone:list: 209-369-1361 Phone: Hrn: 661-294-8877 <br /> Wk: 209-369-1361 <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated <br /> Inspector 6 V <br /> Send Referral to: <br /> Referral Address: <br /> Referral letter Sent by: <br /> Date: <br /> Complaint Status Code: <br /> 01-Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-END Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 911 Invalid 1 Unable To Vefify 51 -Lead Hazard Work Plan Submitted(2) <br /> -Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rpt <br />