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Complaint Investigation Form Report#:5104 <br /> COMPLAINT d: C00024021 Site Location: 4555 N PERSHING AVE Account ID: AR0004636 <br /> Received by: EE0006519 D1SA Received Date: 2/13/2006 Print Date: 2/14/2006 2:06:24PM <br /> Assigned To: EED000467 CARRUESCO Assigned Date: 2113/2006 <br /> ProaramlElement Code:1600-FOOD PROGRAM <br /> Complainant: : GINA Nome Phone 209-951-6332S(3hij-11h?iVED <br /> Address Work Phone <br /> Nature of com laint. <br /> COCKROACHES SEEN IN RESTAURANT. <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: OWOOI 1162-PARLET,JOHN <br /> Site Location 4555 N PERSHING AVE RPIDSA JOHNS INCREDIBLE PIZZA CO <br /> STOCKTON,CA 95207 RP Address I ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 <br /> Mailing Address: I ORCHARD STE. 195 Billing Address I ORCHARD STE 195 <br /> LAKE FOREST,CA 92630-8314 LAKE FOREST,CA 92630-8314 <br /> Nome 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 a _& <br /> r L lnspector' <br /> Send Referral to 4L/ (J Referral L er Sent by <br /> Referral Address Date: <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 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 13ut Not <br /> Scanned <br /> MrM <br /> EY cc m <br /> 5104.rpt <br />