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Complaint Investigation Form Report#: 5104 <br /> COMPLAIN' ID: C00050064 Site Location: 1230 W KETTLEMAN LN Account ID: AR0014570 <br /> Received by: EE0009838 RUIZ Received Date: 7/5/2019 Print Date: 7/5/2019 1:29:01 PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 7/5/2019 <br /> Proaram/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT SAW COCKROACHES IN DINING AREA AND IN LOBBY <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 /> ]-Internet/Email S-Sheriffs Office <br /> -- ------------------------------------- --- --- - - - -- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0003926-IHOP RP DBA <br /> Site Location 1230 W KETTLEMAN LN RP mailing address <br /> LODI,CA 95240 <br /> Cross Street HAM <br /> Mailing address 1230 KETTLEMAN LN RP contact <br /> LODI,CA 95240 RP contact phone <br /> Phone 209-369-1361 EXT: 0 <br /> Owner: OW0006538-LAXMI US 1234 FOOD CORP <br /> DBA IHOP <br /> Owner address 2213 KELSO PEAK AVE 170 <br /> BAKERSFIELD,CA 93304 <br /> Billing Address 1230 KETTLEMAN LN <br /> LODI,CA 95240 <br /> Home Phone <br /> Work Phone 209-369-1361 EXT: <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 06004001 <br /> Date Abated /�'�I ( �j r Inspector ID#: E2L��� <br /> Send Referral to A•' Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> O8 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 /> omplaint Reviewed y: ate: pdated y: ate:It <br /> 5104,rpt <br />