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a `• <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00029617 Site Location: 3900 WEST LN Account 10: AR0004613 <br /> Receivedby: EE0090757 BROWNFIELD Received Date: 11512009 Print Date: 1!5/2009 2A4:02PM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 1/5/2009 <br /> Program/Element Code71600-FOOD PROGRAM <br /> Complainant. : <br /> <br /> Nature of complaint. <br /> (C)&HIS WIFE RECENTLY WENT TO FACILITY AND SAW MICE "MILLING"AROUND UNDER THE TABLES IN THE DINNING AREA. THIS IS THE <br /> SECOND TIME(C)HAS SEEN MICE IN FACILITY. (SEE ATTACHED EMAIL). <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mai!f Correspondence O-Other EH Unit P-Phone i <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 /> Cross Street WEST STOCKTON,CA 95204 <br /> Mailing Address: 3900 N WEST LN Billing Address 3900 N WEST LN <br /> STOCKTON,CA 95204 STOCKTON,CA 95204 <br /> Nome Phone <br /> Phone :209-466-3317 EXT: 0 Work Phone <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON 1 <br /> APN 11703020 ' <br /> i <br /> Date Abated l (� a <` Inspector �ja, -3 <br /> — — <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> I <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 /> ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06- HD PERMIT FACILITY see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 7-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE j <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed f No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Complaint History <br /> 12-ENFORCEMENT CASE-.Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scanned <br /> I <br /> t <br /> i <br /> I /rpt <br />