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,1 <br /> Complaint Investigation Farm Report#:5104 <br /> COMPLAINT ID: C00033808 Site Location: 1230 W KETTLEMAN LN AccountfD: AR0014570 <br /> Receivedby: EE0090753 MARTINEZ Received Date: 7/12/2011 Print Date: 7/12/2011 10:51:58AM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 7/12/2011 <br /> Proaram/Etement Code.,1600-FOOD PROGRAM <br /> T Complainant: :LINDA LEBOW Nome Phone 209-368-0219 <br /> Address Work Phone ; <br /> E-Mail Address <br /> Nature of com faint: <br /> WHILE AT THE FACILITY THIS MORNING, (C)SAW A COCKROACH ON THE COFFEE CARAFE.SHE INFORMED THE WAITRESS,WHO <br /> BROUGHT HER A NEW CARAFE. WHEN(C)POURED A NEW CUP OF COFFEE,THERE WAS ANOTHER COCKROACH IN IT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet 1 Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:PA0003926-]HOP Owner: OW0006538-SEVENTEEN FORTY EIGHT CO,INC <br /> Site Location 1230 W KETTLEMAN LN RP/DBA IHOP <br /> LODI,CA 95240 RP Address 25020 STANFORD AVE 170 <br /> Cross Street KETTLEMAN VALENCIA,CA 91355 <br /> Mailing Address: 1230 KETTLEMAN LN Billing Address 1230 KETTLEMAN LN <br /> LODI,CA 95240 LODI,CA 95240 <br /> Nome Phone <br /> Phone :209-369-1361 EXT; 0 Work Phone - <br /> District 004-VOGEL,KEN Location Code 02-LODI <br /> APN 06004001 G <br /> Date Abated T f� -1( Inspector ID#: J• '10 �Ku i� f{'9 <br /> Send Referral to ! Raferral Letter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Code:(flll!� <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 02-OFFICE ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> I <br /> 03-NAI SENT 52-LEAD Abatement Regired-See Program Record File <br /> 04-NOTICE TO ABATE ISSUED 97-Disaster Planning and Response <br /> 05-DA-ENFORCEMENT ACTION INITIATED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 06- HD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDN NSECU RED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12'-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 51041 <br />