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t <br /> Complaint Investigation Form Report#:51oa <br /> COMPLAINT ID: 000029312 Site Location: 39 W CHARTER WAY Account ID: AR0004601 <br /> Received by. EE0004636 BACKUS Received Date: 10/25/2008 Print Date:10/27/2008 9:44:16AM <br /> Assigned To: EE0003474 VEGA Assigned Date: 10/27/2008 <br /> ProoramlOement Code:1600-FOOD PROGRAM 1 <br /> Complainant: :LADORA KING VIA Home Phone 209-922-3685 <br /> Address ;GARRETT BACKUS ER work Phone <br /> Nature of cam faint: <br /> FLIES IN FRESH MEAT DISPLAY CASES. -(C)REQUESTS A CALL BACK FROM INSPECTOR AFTER INSPECTION. <br /> Complaint Mode: P ComplaintMode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail f Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002381-SUPERSAVE MARKET ,X Owner: OW0001828-CHEN,WILLIAM;ZI MING WU ETC I <br /> Site Location 39 W CHARTER WAY RP/DBA SUPERSAVE MARKET <br /> STOCKTON,CA 95206 RP Address 39 W CHARTER WAY <br /> Cross Street CHARTER STOCKTON,CA 95206 <br /> Mailing Address. 39 W CHARTER WAY Billing Address 39 W CHARTER WAY <br /> STOCKTON,CA 95206 STOCKTON,CA 95206 <br /> Home Phone :209-464-7610 <br /> Phone :209-464-8295 Work Phone :209-464-7610 <br /> District Location Code 01 -STOCKTON <br /> APN 14716038 <br /> Date Abated //— 0 3— �Q Inspector. 2CY �- <br /> Send Referral to 6r u ( Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Code: `r <br /> Circle appropriate Status Code <br /> • I <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 /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 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 26-FOODBORNE ILLNESS-Unconfirmed 1 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 History <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 /> i <br /> i <br /> i <br /> i <br /> 04_rpl <br />