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G" ,F4 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00021710 Site location: 4555 N PERSHING AVE Account ID: AR0004636 <br /> Received by: EE0003600 BLACKWELL Received Date: 10/27/2004 Print Date:10/27/2004 1:58:48PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 10/27/2004 <br /> ; <br /> Proram/Element Code:1600-FOOD PROGRAM <br /> Complainant: ;LORI H Home Phone 209-951-3356 <br /> Address Work Phone <br /> Nature of com laint: <br /> ON 10-20-04 AT 4:00 PM COMPLAINANT'S DAUGHTER ATE AT FACILITY. DAUGHTER TOOK SECOND BITE OUT OF HAWAIIAN PIZZA AND <br /> FOUND A CONDOM BAKED INTO THE DOUGH UNDER THE CHEESE.TALKED TO MANAGER AND WAS GIVEN MONEY BACK.PLEASE CALL <br /> AFTER INSPECTION.COMPLAINANT IS HOME ON WEDNESDAY ONLY. <br /> Complaint Mode: PComplaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002529-JOHN'S INCREDIBLE PIZZA CO Owner: OW0011162-PARLET,JOHN <br /> Site Location 4555 N PERSHING AVE RP108A JOHNS INCREDIBLE PIZZA CO <br /> STOCKTON,CA 95207 RPAddress 1 ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 <br /> Mailing Address: 1 ORCHARD STE 195 SiRingAddress 1 ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 LAKE FOREST,CA 92630-8314 <br /> Home Phone :805-748-2694 <br /> Phone :209-952-0537 Work Phone ;805-595-3333 <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN 11017001 f <br /> Date Abated 1QI ZA[Q4 Inspector. —Z 0-f �7 <br /> Send Referral to ! Referral Letter Sent by r <br /> Referral Address Date: - <br /> ,E <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed COmplaint History <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scanned <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> I <br /> E D <br /> 5104.rpt <br />