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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00041059 Site Location: 3 S PACIFIC AVE Account ID: AR0000912 <br /> Recerved by: EE0000025 SEDRA Received Date: 2/10/2016 Print Date: 2/10/2016 4:45:14PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 2/1012016 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> ON 2/9/2016 AT APPROXIMATELY 5:00 PM COMPLAINANT ALLEGES THAT THE PERSON SELLING FOOD IN THE HOT DOG BOOTH WAS <br /> HANDLING MONEY AND FOOD WITHOUT WASHING THEIR HANDS.SELLING COLD PEPPERONI PIZZA.COMPLAINANT STATED THAT THEY <br /> DID NOT SEE A SINK FOR THE WORKER TO WASH THEIR HANDS.NO ONE BECAME ILL. <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 /> 1-Intemet/Email S-Shenfrs Office <br /> ------------------------------------------------ - <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility: FA0000915-LODI USD-LODI HIGH SCHOOL Owner: OW0000031-LODI UNIFIED SCHOOL DISTRICT <br /> Site Location 3 S PACIFIC AVE RP/DBA LODI UNIFIED SCHOOL DISTRICT <br /> LODL CA 95242 RP Address <br /> <br /> <br /> <br /> <br /> : <br /> District 004_WINN,CHARLES Location Code 02-LODI <br /> APN 03511012 I�-�p( A 1 <br /> Date Abated I�Pk i ll ——Inspector ID#: <br /> --------------_ — ----------------------------- <br /> Send Referral to Rererdl Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: U, <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE If <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> �REFERRED TO OTHER AGENCY CL-Case Closed <br /> Y80 <br /> TUNABLE TO VERIFY MN-EHD Monitoring Status <br /> PPD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by. ate: Updated by: zix Date: <br /> 5104.ry1 (G, <br />