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Complaint Investigation Form Report#: 5104 <br /> COMFtAINT ID: C0004"8480 Site Location: 1601 S LOWER SACRAMENTO RD Account ID: AR0044133 <br /> Received by: EE0000467 CARRUESCO Received Date: 1/22/2019 Print Date: 1/22/2019 4:18:15PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 1/22/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> SUBWAY/AUNTIE ANNE'S,ANNE'S OPERATING IN THE NEW WAL-MART. MANAGER OF SUBWAY/AUNTIE ANNE'S DOES NOT WEAR HAIR <br /> RESTRAINT. MANAGER WAS ALSO BLOWING NOSE INTO NAPKIN AND THEN PUTTING ON GLOVES WITHOUT WASHING HANDS. <br /> Complaint Mode: O 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 /> I-Internet/Email S-Sheriffs Office <br /> ------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility: FA0023824-Subway 67296 RP DBA <br /> Site Location 1600 WESTGATE DR RP mailing address <br /> Lodi,CA 95242 <br /> Cross Street KETTLEMAN <br /> Mailing address 1153 Devine Dr RP contact <br /> Lodi,CA 95240 RP contact phone <br /> Phone 209-200-2323 EXT: <br /> Owner: OW0015675-Stirm Family Inc <br /> DBA STIRM FAMILY INC <br /> Owner address 1153DEVINEDR <br /> LODI,CA 95240 <br /> Billing Address 1153 Devine Dr <br /> Lodi,CA 95240 <br /> Home Phone 209-200-2323 EXT: CELL <br /> Work Phone 209-200-2323 EXT: <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 05803012 1 <br /> Date Abated 1-17q—/ 9 <br /> /nspectorlD#: rOhrSG / Z <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 9-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> ompalnt Reviewed by:,I,,,, `_ p L ate: pate y: at <br /> 5104.rpt l I <br />