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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016195 Site Location: 700 VICTOR RD Account ID: AR0020481 <br /> Receivedby: EE0006519 DISA Received Date: 7/6/2001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 7/6/01 <br /> Program/Element Code: 1626-RESTAURANT/BAR 101 +SEATS <br /> Complainant: <br /> <br /> Nature of complaint: <br /> COCKROACHS IN RESTAURANT,WORKERS DONT CLEAN CUTTING BOARD OR CUTTER REGULARLY. BATHROOM DIRTY, FLOORS <br /> DIRTY. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000488-UJ'S FAMILY RESTAURANT Owner: OW0010019-ALSARTAWI, RASLAN <br /> RP/DBA: <br /> Site location: 700 VICTOR RD RPAddress: 712 CHENIN BLANC DR <br /> LODI,CA 95240 LODI,CA 95240 <br /> Mailing Address: 700 VICTOR RD <br /> BillingAddress:: 712 CHENIN BLANC <br /> LODI,CA 95240 LODI,CA 95240 <br /> Phone-,1st: 209-368-7593 Phone: Hrn: 209-333-2533 <br /> Wk: 209-368-7593 <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated h 01 <br /> Inspector -0 <br /> Send Referral to: <br /> Referral Address: <br /> Referral letter Sent by: <br /> Dale: p <br /> Complaint Status Code: QO <br /> Of-Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement In Progress(3) <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-Sae Active Case If 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.pt <br />