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CComplaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00021954 Site Location: 3900 WEST LN account ID. Aft0004613 <br /> Received by: EE0006907 Sanchez Received Date: 12/15/2004 Print Date:1211612004 10:58:24AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 12/16/2004 <br /> Program/Efement Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint. <br /> ORDERED TAKE-OUT FROM WEST LANE BOWL AND FOUND A COCKROACH IN HER FOOD WHEN SHE ARRIVED AT HOME. SHE THREW <br /> HER FOOD AWAY. SHE JUST RETURNED WITH A FRIEND AND SPOTTED ANTHER ROACH AS THEY WERE WAITING FOR THEIR ORDER. <br /> SHE NOTIFIED THE WAITRESS AND THE WAITRESS MENTIONED THAT THEY KNEW THEY DID HAVE A PROBLEM.COMPLAINANT WAS <br /> THERE ON FRIDAY 12103/04. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors f City Council C-Counter <br /> ----- E-Cade Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------------- <br /> FACILITY <br /> ____.-------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility;FA0002383-WEST LANE BOWL Owner: OW0001829-WEST LANE BOWL INC <br /> Site Location 3900 WEST LN RP/DBA WEST LANE BOWL <br /> STOCKTON,CA 95204 RP Address 3900 WEST LN <br /> STOCKTON,CA 95204 <br /> Mailing Address: 3900 N WEST LN Billing Address 3900 N WEST LN <br /> STOCKTON,CA 95204 STOCKTON,CA 95204 <br /> Home Phone <br /> Phone :209466-3317 Wank Phone :209466-3317 EXT; <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN 11703020 rl <br /> Date Abated 1 �iV Inspector: (0°� { <br /> -------------------------------------------------- <br /> Send Referral to 1 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint History <br /> Complaint status Coder Attached But Not <br /> Scaluled <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> I <br /> i <br /> 5104.rpt <br />