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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00029794 Site Location: 620 S CENTRAL AVE <br /> Account 1D: AR0007057 <br /> Received by: EE0007380 SHIN Received Date: 2/11/2009 Print Date: 2/11/2009 12:33:54PM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 2/11/2009 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :JAMIE ALDFED,LODI POLICE DEPT Nome Phone <br /> Work Phone 209-642-6382 <br /> Address <br /> - - <br /> Address <br /> Nature of complaint: <br /> FACILITY IS OPERATING BUSINESS WITHOUT POWER. ELECTRIC WAS TURNED OFF BY CITY OF LODI, <br /> Complaint Mode: A ComplaintMode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> --- ---- -------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0005989-CARNICERIA CALIFORNIA DELI Owner: OW0004777-MURGUTA,ANTONIO <br /> Site Location 620 S CENTRAL AVE RP/DBA CARNICERIA CALIFORNIA DELI <br /> LODI,CA 95240 RPAddress 1131 S PLEASANT AVE <br /> Cross Street CENTRAL LODI,CA 95240 <br /> Mailing Address: 620 S CENTRAL AV E Billing Address 620 S CENTRAL AVE <br /> LODI,CA 95240 LODI,CA 95240 <br /> Home Phone :209-339-1567 <br /> Phone :209-339-1914 Work Phone :209-339-1914 <br /> District 004-VOGEL,KEN Location Code 02-LODI <br /> APN <br /> Date Abated n Inspector. <br /> Send Referral to Y Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: i!p <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06 EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed/No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint Complaint Histoq <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Attached But Not <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Scanned <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 51/.rpt <br />