Laserfiche WebLink
Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00029392 Site Location: 39 W CHARTER WAY Account 1D: AR0004601 <br /> Received by., EE0090753 MARTINEZ Received Date: 11/10/2008 Print Date:11/12/2008 839:23AM <br /> i <br /> Assigned To: EE0003474 VEGA Assigned Date: 11/12/2008 , <br /> Program/Element Code:1600-FOOD PROGRAM ' <br /> Complainant: :GILLIAN Nome Phone 209-513-2392_- u <br /> Address Work Phone <br /> Nature of complaint: <br /> ON 11!9108,(C)STATED PURCHASED MRS FRESHLEY'S BRAND DONUTS THAT HAD MAGGOTS IN THEM. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors f City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <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 RPAddress 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 /> Nome Phone i209-464-7610 <br /> Phone :209-464-8295 Work Phone :209-464-7610 <br /> District 001-GUTIERREZ,STEVE Location Code 01 -STOCKTON <br /> APN 14716038 <br /> Date Abated `/( _ v9 — 0 O"- Inspector. 3 !�7(f <br /> Send Referral to i 7 L O Referral Letter Sent by, <br /> Referral Address Date: <br /> Complaint Status Code: <br /> 00 <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 /> 05-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 /> 7-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed i No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 pay Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31 -15 Day Letter Sent-Alleged Complaint Complaint History <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scanned <br /> I <br /> I <br /> I <br /> 51 4.rpt <br />