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V'"/P" Complaint Investigation Form Report#:5104 <br /> COM91LAINT ID: C00052959 Site Location: 420 E KETTLEMAN LN #2388 Account ID: AR0001046 <br /> Received by: EE0009830 SAUERS Received Date: 11/12/2020 Print Date: 11/12/2020 10:29:39AM <br /> Assigned To: EE0007380 SHIH Assigned Date: 11/12/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of com laint: <br /> COMPLAINANT ALLEGES THAT EACH TIME THEY COME TO THIS FACILITY,THE SAME TWO FEMALE EMPLOYEES MAKING SANDWICHES <br /> ARE NOT WEARING MASKS.COMPLAINANT IS CONCERNED THAT THEYARE GOING TO SPREAD COVID-19 BECAUSE THEY ARE THE ONES <br /> MAKING THE SANDWICHES. <br /> —COMPLAINANT REQUESTS A CALL BACK <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 Or 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 209-368-4157 <br /> Work Phone 209-200-2323 EXT: <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 06206010 <br /> Date AbatedI 2,,IA/ Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02- ffice Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 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 Verity 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 /> omp aint Reviewed b4t;.;-1 Date: pate y: ate: 1 <br /> 5104.rpt <br />