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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016556 Site Location: 1301 W LOCKEFORD ST Account ID:AR0000392 <br /> Receivedby. EE0000418 KITH Received Date: 9/20/2001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 9120/01 CORBEL(� <br /> ProoraMElement Code: 1624-RESTAURANT/BAR 21-50 SEATS 11"OM��I}��� <br /> <br /> <br /> � 2 �g n <br /> Nature of complaint: 6, 361 i <br /> A PATIENT ATE ROAST BEEF SANDWICH AT ABOVE FACILITY ON 09-11-01,BECAME SICK OF SAMINELLA ON 09-13-01. KAISER LAB <br /> CONFIRMED. <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: FA0000393-SUBWAY SANDWICHES Owner: OW0005076-STIRM,MILTON B VELTA <br /> RPIDBA: SUBWAY <br /> Site Location: 1301 W LOCKEFORD ST RPAddress: 1153 DEVINE DR <br /> LODI.CA 95240 LODI,CA 95240 <br /> Mailing Address: 1153 DEVINE DRIVE <br /> Billing Address:: 1153 DEVINE DR <br /> LODI,CA 95240 LODI,CA 95240 <br /> Phone:1st: 209-368-4157 Phone: Hirt: 209-368-4157 <br /> Wk: 209-943-1431 <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: Q <br /> Complaint Status Code: DO <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-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> f.� Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> (QE-Invalid I Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -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 W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />