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° A Complaint Investigation Form , Repert#:5104 <br /> COMPLAINT ID: C00015937 Site Location: 39 W CHARTER WAY Account ID: AR0004601 <br /> i <br /> Received by: EE0000001 TURKATTE Received Date: 5/14/2001 <br /> Assigned To: EE0003497 QUINLIN Assigned Date: 5115101 <br /> Pmgram/Element Code: 1617-RETAIL MARKET>1000 SQ FT <br /> Complainant: <br /> <br /> <br /> <br /> Nature of complaint: <br /> LLSA-E8 A ATE SLICED SALAMI ON 04-14-01 AND BECAME ILL.ON 04-15-01 IN EVENING WENT TO ER AND WAS CONFIRMED <br /> SALMONELLA GROUP 2, MEAT NOT WRAPPED. l <br /> Complaint Mode A Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council i E-Code Enforcement <br /> M-Maii/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002381 -SUPERSAVE MARKET Owner: OW0001828-CHEN,WILLIAM;ZI MING WU ETC <br /> RP/DBA: SUPERSAVE MARKET <br /> Site Location: 39 W CHARTER WAY RP Address: 39 W CHARTER WAY <br /> STOCKTON,CA 95206 <br /> STOCKTON,CA 95206 <br /> Mailing Address: 39 W CHARTER WAY <br /> Billing Address:: 39 W CHARTER WAY <br /> STOCKTON,CA 95206 <br /> STOCKTON, CA 95206 <br /> Phone:1st: 209-464-8295 Phone: Hm: 209-464-7610 :1 <br /> Wk: 209-464-7610 1 <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Date Abated <br /> Inspector <br /> I <br /> Send Referral to: <br /> f <br /> Referral Address: 1. <br /> s <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <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 Permit Facility-See Linked Promise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid 1 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 WISoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 3 <br /> i <br /> 0104.rpt <br />