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Complaint Investigation Form Report#: 5104 <br /> COMPLAIN CO0022528 Site Location: 4555 N PERSHING AVE Account ID: AR0004636 <br /> Received by: EE0000001 TURKATTE Received Date: 411212005 Print Date: 4/12/2005 10:19:40AM <br /> Assigned To., EE0000467 CARRUESCO Assigned Date: 4/12/2005 <br /> Program/Element Code:1300-HOUSING ABATEMENT PROGRAM <br /> Complainant: : CAROLYN TAYLOR Nome Phone 209-477-5683 <br /> Address Work Phone <br /> Nature of complaint. <br /> DIRTY PLATES AT SALAD BAR AREA: FOOD WORKER STATED TO(C)THAT THIS IS NORMAL AND TO SET ASIDE AND TAKE ANOTHER. (C) <br /> IS CONCERNED ABOUT DISEASE TRANSMISSION FROM THESE DIRTY PLATES. (C)WOULD LIKE A CALL BACK AFTER INSPECTION. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> —————————————— <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002529-JOHN'S INCREDIBLE PIZZA CO Owner: OW001 1162-PARLET,JOHN <br /> Site Location 4555 N PERSHING AVE RP/DBA JOHNS INCREDIBLE PIZZA CO <br /> STOCKTON,CA 95207 RP Address 1 ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 <br /> Mailing Address: 1 ORCHARD STE 195 Billing Address 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 <br /> Date Abated y "11-4_ <br /> 11- !_ � Inspector. 3Y�y <br /> Send Referral to ( Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Cir le appropriate Status Code <br /> IELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02- FFICE 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 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> Complaint History <br /> Attached But Not <br /> Scanned <br /> E <br /> 5104,rpt <br />