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CO0052955
EnvironmentalHealth
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1600 - Food Program
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CO0052955
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Entry Properties
Last modified
10/19/2023 11:22:14 AM
Creation date
3/1/2021 11:53:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0052955
PE
1600
FACILITY_ID
FA0001049
FACILITY_NAME
Subway 2388
STREET_NUMBER
420
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
Lodi
Zip
95240
APN
06206010
ENTERED_DATE
11/10/2020 12:00:00 AM
SITE_LOCATION
420 E KETTLEMAN LN
RECEIVED_DATE
11/10/2020 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052955 Site Location: 420 E KETTLEMAN LN AccountlD: AR0001046 <br /> Received by: EE0009830 SAUERS Received Date: 11/10/2020 Print Date: 11/10/2020 3:02:29PM <br /> Assigned To: EE0007380 SHIH Assigned Date: 11/10/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT WENT TO FACILITY LAST WEEK.THE TWO FEMALE EMPLOYEES MAKING SANDWICHES AROUND LUNCH TIME,WERE NOT <br /> WEARING MASKS.WHEN COMPLAINANT QUESTIONED EMPLOYEES,EMPLOYEES TOLD COMPLAINANT THEY DO NOT HAVE TO WEAR <br /> MASKS.COMPLAINANT WENT TO FACILITY AGAIN TODAY,AND THE SAME EMPLOYEES WERE NOT WEARING MASKS WHILE MAKING THE <br /> SANDWICHES.COMPLAINANT IS CONCERNED BECAUSE IT IS AROUND LUNCH TIME AND IT GETS CROWDED DURING THAT TIME. <br /> —PLEASE CALL COMPLAINANT WITH FINDINGS. <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 /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------ -- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0001049-Subway 2388 RP DBA <br /> Site Location 420 E KETTLEMAN LN#2388 RP mailing address <br /> Lodi,CA 95240 <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: OW0005076-Stirm Family Inc <br /> DBA SUBWAY <br /> Owner address 12352 E STATE ROUTE 12 <br /> LOCKEFORD,CA 95237 <br /> Billing Address 1153 Devine Dr. <br /> Lodi,CA 95240 <br /> Home Phone 209-3684157 <br /> Work Phone 209-200-2323 EXT: <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 06206010 <br /> Date Abated r ' _ k � •— �� Inspector ID#: C o` f( v� -C S C-1 <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ]]``0�..-� <br /> —LLQ' <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 /> 08-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 /> ompaint Reviewed by: ate: p ate by: uy Uate: !� <br /> 5104.rpt l <br />
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