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-4AL r <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00039962 Site Location: 4579 E ACAMPO RD Account ID: AR0029211 <br /> Received by: EEOD00028 ALI Received Date: 711/2015 Print Date: 7/1/2015 10:28:03AM <br /> Assigned To: EE0009488 WONG Assigned Date: 7/1/2015 <br /> Prooram/Element Code:1600-FOOD PROGRAM <br /> Complainant: :JEFF Nome Phone ; 209-210-7815 <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> MARKET IS SELLING LAMB AND GOAT MEAT IN PLASTIC BAGS WITHOUT LABELS. IT'S KEPT UNDERNEATH THE ICE CREAM IN THE <br /> FREEZER. THERE ARE FLIES EVERYWHERE.REFRIGERATOR DOOR DOESN'T CLOSE ALL THE WAY AND FOOD PACKAGES ON THE SHELF <br /> ARE EXPIRED.EMPLOYEES WALK AROUND WITHOUT SHOES ALL DAY.PLEASE CALL COMPLAINANT WITH FINDINGS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bel of Supervisors I City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Internet 1 Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0016563-AM MARKET Owner: OW0013421 -MOZEB,ALI <br /> Site Location 4579 E ACAMPO RD RP/DBA A M MARKET <br /> ACAMPO,CA 95220 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 01703053 <br /> Date Abated � nspector ID#: (/.//{J// N <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ©� <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> at-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDAR DIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 4 r <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompaint Reviewed by: ' ate: pate y: ate: <br />