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' Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038042 Site Location: 1230 W KETTLEMAN LN Account ID: AR0014570 <br /> Receivedby: EE0009058 LOWE Received Date: 5/30/2014 Print Date: 5/30/2014 3:00:14PM <br /> Assigned To: EE0005362 WIESEMAN Assigned Date: 5/30/2014 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :BILLIE Home Phone <br /> Address : Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> (C)ATE BREAKFAST @ FACILITY ON 5/30/14 AND HAD A COCKROACH CRAWL ACROSS HER TABLE.(C)THINKS THEY HAVE A ROACH <br /> INFESTATION.SHE TOLD THE WAITRESS;HOWEVER DID NOT SEEM TO CONCERNED. <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 /> I-Internet!Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003926-IHOP Owner: OW0006538-LAXMI US 1234 FOOD CORP <br /> Site Location 1230 W KETTLEMAN LN RP/DBA IHOP <br /> Lodi,CA 95240 RP Address 2213 KELSO PEAK AVE 170 <br /> Cross Street KETTLEMAN BAKERSFIELD,CA 93304 <br /> Mailing Address: 1230 KETTLEMAN LN Billing Address 1230 KETTLEMAN LN <br /> LODI,CA 95240 LODI,CA 95240 <br /> Home Phone <br /> Phone :209-369-1361 EXT: 0 Work Phone :209-369-1361 Ex I <br /> District 004-VOGEL,KEN Location Code <br /> APN 06004001 (' <br /> Date Abated J� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02'_OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 06JDA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Cl osed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints -SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104.rpt <br />