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Complaint Investigation Farm Report#:5104 <br /> COMPLAINT ID: C00017889 Site Location: 2808 COUNTRY CLUB BLVD Account ID: AR0021257 <br /> Received by: EE0090753 MARTINEZ Received Date: 811612002 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 8/26/2002 <br /> Proaram/Etement Code: 1600-FOOD PROGRAM <br /> Complainant: ROBERT Nome Phone: 209-482-4966 <br /> Address: Work Phone: <br /> Nature of complaint: <br /> (C)STATES HE BOUGHT DONUTS @ 7:45AM ON 8116102 AND THEY WERE MOLDY.CONCERNED THAT SOME OF THE EMPLOYEES <br /> TOOK BITS OF DONUTS,AND MAY GET ILL. HE CALLED STORE AND THEY TOLD HIM IT WASN'T MOLD AND HE COULD HAVE A <br /> REFUND IF HE BROUGHT THEM BACK, <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-MalllCorrespondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0012734-SAFEWAY#1769 Owner: OW0009849-DAWES, ROBERT <br /> RPIDBA: SAFEWAY STORE#1769 <br /> Site Location: 2808 COUNTRY CLUB BLVD RPAddress: 5819 STONERIDGE MALL RD <br /> STOCKTON,CA 95204 <br /> PLEASANTON,CA 94588-3229 <br /> Mailing Address: PO BOX 29096 <br /> Billing Address:: 5819 STONERIDGE MALL RD <br /> PHOENIX,AZ 85038-9096 <br /> PLEASANTON, CA 94588-3229 <br /> Phone:1st: 209-461-5555 Phone. HM: 925-467-3845 <br /> Wk: Number Not Specified <br /> District Location Code 01 -STOCKTON <br /> APN l <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by:, <br /> Date:, <br /> Complaint Status Code: W <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 /> EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 7 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 /> Foodbome 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 WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.Tt <br />