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^' Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00047798 Site Location: 1205 S MAIN ST Account/D: AR0041511 <br /> Receivedby: EE0009830 SAUERS Received Date: 11/20/2018 Print Date: 11/20/2018 11:30:34AM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 11/20/2018 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THIS FACILITY ALLOWS PETS IN THE PRODUCE/GROCERY AREA,THEY DO NOT APPEAR TO BE SERVICE DOGS. <br /> COMPLAINANT ALLEGES THEY ARE IN THE SHOPPING CARTS AND IS CONCERNED ABOUT THE UNSANITARY CONDITIONS. <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-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0022670-WALMART 01840 Owner: OW0000596-Walmart Inc. <br /> Site Location 1205 S MAIN ST RP/DBA : <br /> MANTECA,CA 95337 RP Address 702 SW EIGHTH ST <br /> Cross Street BENTONVILLE,AR 72716-0500 <br /> Mailing Address: 508 SW 8TH ST DEPT#8916 Billing Address 702 Southwest 8th Street <br /> BENTONVILLE,AR 72716--050 Bentonville,AR 72716--050 <br /> Home Phone :479-204-0140 <br /> Phone :209-824-2000 Work Phone :479-204-3911 EXT: <br /> District 005-ELLIOTT,BOB Location Code 04-MANTECA <br /> APN 21935032 <br /> Date Abated f l Z{ Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> V r- <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-Referred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> O�,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 /> ompaint Reviewed by: I ( ate: Updated y: <br /> 5104.rp1 <br />