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I Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00014468 Site Location: 39 W CHARTER WAY Account ID: AR0004601 <br /> Received by: EE0000099 Frost Received Date: 7/14/2000 <br /> Assigned To: EE0002685 BO) N Assigned Date: 7/14/00 <br /> Program/Element CodeFOOD PROGRAM W7 <br /> Complainant: CITIZEN-JULIE' Home Phone: <br /> Address: Work Phone: 209-462-4381 <br /> Nature of complaint: <br /> 7.13.00 1:00 P.M. PURCHASED MEAT. FLIES ALL OVER, MEAT ROWS(RIBS)BEHIND WHERE BUTCHER THE MEAT TONS OF FLIES <br /> ALL OVER. COUNTER TOPS WERE FILTHY <br /> Complaint Mode P Complaint Mode Codes A-Agency Refers B-Bd of Supervisors/Cit1 C-Count( E-Code Enforoem( <br /> M-Mail/Correspond( O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002381 -SUPERSAVE MARKET OW0001828-CHEN,WILLIAM;ZI MING WU ETC <br /> Site Location: 39 W CHARTER WAY DBA: SUPERSAVE MARKET <br /> STOCKTON,CA 95206 RPAddress: 39 W CHARTER WAY <br /> Mailing Address: 39 W CHARTER WAY <br /> STOCKTON,CA 95206 Billing Address: 39 W CHARTER WAY <br /> Phone: 1st: 209-464-8295 STOCKTON,CA 95206 <br /> Phone: Hm: 209-464-7610 <br /> Wk: <br /> District: 003-SIMAS, EDWARD Location Code: 01 -STOCKTON <br /> APIC' nr\ <br /> Date Abated., <br /> Inspector., �1)i- )� 1`I6l r <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: /� Date: <br /> Complaint Status Code: LI L <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 /> 05-Enforcement Action Initiated 50- Lead Hazard Evaluation Required(1) <br /> 06- EHD Perrnft Facility-See Linked Premise File 52- Lead Hazard Abatement in Progress(3) <br /> 07- Referred To Other Agency 53- Lead Hazard Visual Inspect Satisfactory(4) <br /> 08- Invalid/Unable To Verify 51 - Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (6) <br /> 12- Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />