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Complaint Investigation Form / Report#: 5104 <br /> COMPLAINT ID: 000022265 Site Location: 3900 WEST LN Account ID: AR0004613 <br /> Received by: EE0000467 CARRUESCO Received Date: 2/22/2005 Print Date: 2/23/2005 1 l:07:23AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 2/23/2005 <br /> Program/Element Code:1626-RESTAURANTIBAR 101 +SEATS i <br /> Complainant: : <br /> ; <br /> Nature of complaint. <br /> ORDERED FRENCH DIP SANDWICH AND FRIES ON 02-21-05. BROWNISH-RED COCKROACH ON PLATE UNDER THE FRIES. WANTS CALL <br /> BACK AFTER INVESTIGATION, <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <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 0 <br /> Nome Phone <br /> .i <br /> Phone ;209466-3317 EXT: 0 Work Phone :209466-3317 EXT: 0 i <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON 1 <br /> Complaint History ' <br /> AP1V 11703020 Attached But Not <br /> Date Abated '11D Inspector - /� Scanned <br /> Send Referral to I Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> 5104.rp1 <br />