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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046388 Site Location: 1616 E MARCH LN Account ID: <br /> Received by: EE0000040 JIMENEZ Received Date: 3/5/1991 Print Date: 4/19/2018 8:58:26AM <br /> Assigned To: EE0000753 NG Assigned Date: 4/19/2018 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> THIS COMPLAINT WAS FOUND IN FILING CABINETAND ALLEGES"COMPLAINANT PURCHASED A CAN OF NIBLETS BRAND CORN FROM <br /> FOOD CENTER ON 2/25/1991.ON 3/2/1991 SHE HEATED CONTENTS IN MICROWAVE FOR 3 MINUTES AND THEN INGESTED FOOD.CORN <br /> TASTED STRANGE SO SHE CAREFULLY EXAMINED CAN AND FOUND SMALL OPENING IN THE SEAM AT BOTTOM OF THE CAN THAT HAD <br /> BEEN SEALED OVER.SHE BECAME ILL IN APPROXIMATELY SIX HOURS." ORIGINAL CO#910286 DATED 3/5/1991 (GIVING IT AN <br /> 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 /> I-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 1616 E MARCH RP/DBA LUCKY FOOD CENTER <br /> STOCKTON,CA 95210 RP Address <br /> <br /> <br /> <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 09614020 <br /> Date Abated C _ _ Inspector ID#. <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 Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 699--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 aint Reviewed by: Datm pate y: ! ate ✓/ <br /> cam- _J <br /> 5104.rpt <br />