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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046316 Site Location: 1172 N MAIN ST Account ID: <br /> Received by: EE0000040 JIMENEZ Received D <br /> <br /> <br /> <br /> AVON ST Work Phone <br /> LATHROP,CA 95330 E-Mail Address <br /> Nature of complaint: <br /> THIS COMPLAINT WAS FOUND IN FILING CABINET AND ALLEGES"ON 10/14/1991 BOUGHT HAM AND IT WAS GREEN-COMPLAINANT <br /> ALSO BOUGHT SOME WIENERS THAT WERE SLIMY-POTATOES HAD WORMS IN THEM-COMPLAINANT THREW AWAY THESE FOODS." <br /> ORIGINAL CO#911955 DATED 10/22/1991 (GIVING IT AN ENVISION COMPLAINT#TO HAVE IN DATABASE FOR FUTURE REFERENCE.) <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:LUCKY FOOD CENTER <br /> Site Location 1172 N MAIN RP/DBA LUCKY FOOD CENTER <br /> MANTECA,CA 95336 RPAddress 1172 N MAIN ST <br /> Cross Street MANTECA,CA 95336 <br /> Billing Address 1172 N MAIN ST <br /> Home Phone <br /> Phone Work Phone <br /> District 003-BESTOLARIDES,STEVE Location Code 04-MANTECA <br /> APN 21821010 <br /> Date Abated (�_ _f Inspector ID#: <br /> -------------- -- -------------------------------------------------------------------- ---- --- - - --------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 0-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp amt Reviewed by: ^I �� Date: Updated by: Dat <br /> 5104.rpt <br />