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' 42:i Complaint Investigation Form Report#: 5104 <br />COMPLAINT ID: C00047302 Site Location: 4255 E MORADA LN Account ID. AR0031742 <br />Received by: EE0000025 SEDRA <br />Assigned To: EE0078788 FAHMY <br />Received Date: 8/23/2018 <br />Assigned Date: 8/23/2018 <br />Program/Element Code: 1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br /> <br /> <br /> <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 />[-Internet / Email S -Sheriffs Office <br />-------------------------------------------------- <br />PROPERTY INFORMATION OWNER INFORMATION <br />Facility: FA0018047 - RALEYS #306 <br />Site Location <br />4255 MORADA LN <br />STOCKTON, CA 95212 <br />Cross Street <br />DIAMOND BAR <br />Mailing Address: <br />PO BOX 15618 <br />Home Phone <br />SACRAMENTO, CA 95852 <br />Phone <br />:209-956-3168 <br />District 002 - MILLER, KATHERINE <br />APN 12429014 <br />Owner: OW0000691 - Raley's Supermarkets <br />RP/DBA <br />RP Address <br />500 W CAPITOL AVE <br />WEST SACRAMENTO, CA 95605 <br />Billing Address <br />500 WEST CAPITOL AVE <br />WEST SACRAMENTO, CA 95605 <br />Home Phone <br />: 916-373-3333 <br />Work Phone <br />:916-373-3333 EXT: <br />Location Code 01 - STOCKTON <br />Date Abated Q _ Z �� Inspector ID #: FTC'ttiyr <br />r <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 <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 - Tank pumped <br />32 - Hooked up to public sewer <br />S3 - Septic system repaired <br />ompamt Reviewed by Dat p ate y: at <br />5104.rpt <br />