Laserfiche WebLink
�. Complaint Investigation Form Report#:5104 <br /> COMPLAI T ID: C00027601 Site Location: 4555 N PERSHING AVE Account 10: AR0004636 <br /> Recei dby: EE0090753 MARTINEZ Received Date: 1/22/2008 Print Date: 1/23/2008 8:5116AM <br /> Assigned To: EE0000149 BORGES Assigned Date: 1/23/2008 <br /> Proaram/Element Code:1600-FOOD PROGRAM <br /> Complainant: :_MONIQUE Nome Phone 209463-5451 <br /> Address Work Phone <br /> Mature of complaint. <br /> ON 1118108,(C)WENT TO FACILITY TO EAT. WHEN(C)WENT TO PUT SALAD DRESSING ON HER SALAD,SHE FOUND AN OPEN CONDOM <br /> FLOATING IN THE SALAD DRESSING. (C)DID NOT PURCHASE ANYTHING,SO SHE WAS NOT REFUNDED ANY MONEY. (C)LEFT FACILITY <br /> AFTER NOTIFYING MANAGEMENT. <br /> Complaint Mode: P ComplaintMade Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> ----------------------- --------------- ----------- l <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA 0002529-JOHN'S INCREDIBLE PIZZA CO Owner: OW0011162-PARLET,J014N <br /> Site Location 4555 N PERSHING AVE RP/DSA 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 Billing Address I 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-RUHSTALLEP,LARRY Location Code pl -STOCKTON <br /> APN 11017001 <br /> /c xI <br /> Date Abated Inspector <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> I <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 /> ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-,Transferred to VECTOR CONTROL FILE <br /> O6 END 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 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Complaint H15ttJq <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 13-ENFORCEMENT CASE,Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scanned <br /> I <br /> 5104_rpt <br />