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t} <br /> Complaint Investigation Form Report#:5104 <br /> COM- T ID: C00036940 Site Location: 1674 E HAMMER LN Account ID: AR0001784 <br /> 7r <br /> f Receivedby: EE0010753 MARTINEZ Received Date: 1/28/2013 Print Date: 1/2$12013 2:59:06PM <br /> { Assigned 7o: EE0001084 RAMIREZ Assigned Date: 1/28/2013 <br /> 111 ProQram/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> ON SAT 1126/13(C)&HUSBAND WAS DINING AT THIS FACILITY WHEN A COCKROACH RAN ACROSS THE SIDE OF THE TABLE,ON THE <br /> WALL&INTO A SMALL HOLE ON THE PANEL. (THEY WERE SITTING ON THE EAST SIDE OF THE BUILDING AGAINST A WINDOW) <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-Mail!Correspondence O-Other EH Unit P-Phone <br /> 1-InternetI Email S-Sheriff's Office <br /> ---------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> 5. <br /> Facility:FA0001784-IHOP#653 Owner: OWOD10510-SIX FIFTY THREE COMPANY INC <br /> Site Location 1674 E HAMMER LN RP/DBA IHOP 9653 <br /> STOCKTON,CA 95210 RP Address 1674 E HAMMER LN <br /> Cross Street HAMMER STOCKTON,CA 91203 <br /> Mailing Address: 1674 E HAMMER LN Billing Address 1674 E HAMMER LN <br /> STOCKTON,CA 95210 STOCKTON,CA 95203 <br /> Nome Phone :661-294-8$77 <br /> Phone :209-951-3137 Work Phone <br /> l <br /> District Location Code <br /> APN 09428015 <br /> Date Abated Inspector ID#: <br /> --- --- ------------------ — --- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> ti <br /> Complaint Status Code: <br /> d <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response. <br /> i <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 1. <br /> 51a4.rpt <br />