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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00017450 Site Location: 2808 COUNTRY CLUB AccountlD: <br /> Received by: EE0009157 BARCELLOS Received Date: 5/7/2002 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 5/7/2002 <br /> Program/Element Code: 1600-FOOD PROGRAM <br /> Complainant: AL OLSEN Home Phone: <br /> Address: Work Phone: 209-468-3434 <br /> Nature of complaint: <br /> WITNESSED A LADY SELLING BURRITOS FROM ICE CHEST DIRECTLY IN FRONT OF SAFEWAY. <br /> I� <br /> Complaint Mode O Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-MaillCorrespondence O-Other EH Unit C-Counter P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: ' Responsible Party or Property Owner: <br /> .I <br /> RP/DBA: <br /> Site Location: 2808 COUNTRY CLUB RP Address: <br /> SAFEWAY,CA <br /> i <br /> Billing Address:: <br /> Phone: Phone: Hm: <br /> Wk: Number Not Specified <br /> District Location Code <br /> APN <br /> Date Abated S 1 C Z <br /> Inspector <br /> :i <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code:ii d <br /> 0Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 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 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(B) <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 WlSoil Contamination <br /> 14-Enforcement Case;Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 6104.rpt <br />