Laserfiche WebLink
V Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038344 Site Location: 1230 KETTLEMAN LN Account ID: AR0014570 <br /> Receivedby: EE0009058 LOWE Received Date: 8/11/2014 PnntDate: 8/11/2014 12:49:11PM <br /> Assigned To: EE0005362 WIESEMAN Assigned Date: 8/11/2014 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant LACY RIGGS Home Phone 209-369-3074 <br /> Address Work Phone <br /> Mail Address <br /> Nature of com laint: <br /> ATE BREAKFAST @ 9 AM 8/10/2014 AND NOTICED A COCKROACH CRAWLING ON THE WALL AT THE TABLE HE WAS SITTING AT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Counci I 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 RPAddress 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 :209-309-1361 EXI: <br /> District 004-VOGEL,KEN Location Code <br /> APN 06004001 <br /> Date Abated 0� Inspector ID#: �; CAV- <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 Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 0-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 />