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Complaint Investigation Form Report #: 5104 <br />COMPLAINT ID: C00047317 Site Location: 1950 W ELEVENTH ST <br /> Account ID: AR0002542 <br />Received by: EE0004589 LINHARES <br /> Received Date: 8/27/2018 <br /> Print Date: 8/27/2018 2:34:05PM <br />Assigned To: EE0004589 LIN HARES <br /> Assigned Date: 8/27/2018 <br />Program/Element Code.1600 - FOOD PROGRAM <br />Complainant: : <br /> <br /> <br /> <br /> <br /> <br />Nature of complaint: <br />COMPLAINANT PURCHASED NUTCHER CHOCOLATE MILK AND WAS SPOILED. NO EXPIRATION DATE ON BOTTLE. <br />Complaint Mode: p Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriffs Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br />Facility: FA0002980 - FOOD MAXX #490 <br />Site Location 1950W ELEVENTH ST <br />TRACY, CA 95376 <br />Cross Street CORRAL HOLLOW <br />Mailing Address: 1800 Standiford Ave. <br />Modesto, CA 95352--466 <br />Phone : 209-832-3867 EXT: <br />District 005 - ELLIOTT, BOB <br />APN : <br />OWNER INFORMATION <br />Owner: OW0000369 - Save Mart Supermarkets <br />RP/DBA <br />RP Address 1800 STANDIFORD AVE <br />MODESTO, CA 95350 <br />Billing Address 1800 Standiford Ave <br />Modesto, CA 95350 <br />Home Phone : 209-574-6299 EXT: 1 1 1 <br />Work Phone : 209-577-1600 EXT: <br />Location Code 03- TRACY <br />Date Abated Inspector ID #: f\\1) <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code: L.9 <br />Circle appropriate Status Code <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 />51 - Tank pumped <br />S2- Hooked up to public sewer <br />S3 - Septic system repaired <br />01 - Field Response-Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />Refferred to Other Agency <br />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 />Alleged FBI - No Major Violations Identified <br />Alleged FBI - Major Violations Identified <br />Updated by: <br />(:)\(\A <br />Date:I <br /> <br />I <br />..:omplaint Reviewed by: <br />5104.rpt <br />Date: