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Complaint Investigation Form Report#:5104 <br /> 2' <br /> COMPLAINT ID: C00019952 Site Location: 39 W CHARTER WAY Account 1D: AR0004601 <br /> ti I <br /> Receivedby., EE0090753 MARTINEZ Received Date: 11/5/2003 Print Date:11/1012003 10:I2:07AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 11/5/2003 <br /> ProgramlElement Code 1617-RETAIL MARKET>1000 SQ FT W I FOOD PREP <br /> Complainant: :ANON Nome Phone <br /> Address Work Phone <br /> i <br /> I <br /> Nature of complaint. <br /> (C)STATES SHE BOUGHT GROUND BEEF 11/03/03 SHE COOKED IT ON 11/04/03&IT DIDN'T TASTE GOOD&DIDN'T LOOK LIKE GROUND <br /> BEEF. <br /> Complaint Mode: PComplaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------------- ----------------------- <br /> FACILITY <br /> ------------- --------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002381 -SUPERSAVE MARKET Owner: OW0001828-CHEN,WILLIAM;ZI MING WU ETC <br /> Site Location 39 W CHARTER WAY RP/DBA SUPERSAVE MARKET <br /> STOCKTON,CA 95206 RP Address 39 W CHARTER WAY <br /> I <br /> STOCKTON,CA 95206 <br /> Mailing Address: 39 W CHARTER WAY Billing Address 39 W CHARTER WAY <br /> STOCKTON,CA 95206 STOCKTON,CA 95206 <br /> Nome Phone :209-464-7610 <br /> Phone ;209-464-8295 Work Phone :209-464-7610 <br /> District Location Code 01 -S TOCKTON <br /> APN <br /> Date Abated <br /> I//- <br /> I r 2 r� Inspector <br /> --------- --v--�------------------- <br /> - --- --------- --- ------ I. <br /> Send Referral to Referral Letter Sent by <br /> I� <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSINd 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 28-FOODBORNE ILLNESS-Unconfirmed I <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) k <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL BNSPECT SATISFACTORY(4) <br /> I <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> co <br /> 5104.rpt <br />