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Complaint Investigation Farm Report#:5104 <br /> COMPLAINT ID: C00018081 Site Location: 2808 COUNTRY CLUB BLVD Account ID: AR0021257 <br /> Received by: EEO 090753 MARTINEZ Received Date: 9/24/2002 <br /> Assigned To: EE0000321 OL I EIRA Assigned Dare: 9/24/2002 <br /> P raMT-I ment Code �6gt3 FOD PROGRAM <br /> Complainant: YUSRA yo&&.. ' f Home Phone: 209-983-B '0N����� <br /> Address: Work Phone: <br /> Nature of complaint: <br /> (C)BOUGHT ROTTEN MEAT SHE WENT BACK TO STORE&THEY OFFERED TO GIVE HER THE MONEY BACK BUT SHE DIDN'T WANT IT <br /> SHE SAID SHE WAS GOING TO COMPLAINT TO EHD <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> i <br /> M-Mall/Correspondence O-Othor EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0012734-SAFEWAY#1769 Owner: OW0009849-DAWES, ROBERT <br /> RP/DBA: SAFEWAY STORE#1769 <br /> Site Location: 2808 COUNTRY CLUB BLVD <br /> STOCKTON,CA 95204 RPAddress: 5819 STONERIDGE MALL RD <br /> PLEASANTON,CA 94588-3229 <br /> Mailing Address: PO BOX 29096 <br /> PHOENIX,AZ 85038-9096 Billing Address:., 5819 STONERIDGE MALL RD <br /> PLEASANTON,CA 94588.3229 <br /> Phone:lst: 209-461-5555 Phone: Hm: 925-467-3845 <br /> Wk: Number Not Specified <br /> District Location Code 01 -STOCKTON 41t)APN c(cex <br /> Date Abated l o t 0 Z— <br /> Inspector_ <br /> I.e d <br /> C m� <br /> Send Referral to: <br /> Referral Address: <br /> Ltd <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <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 Sont 16-Leiter 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-EMD Permit Facility-See Linked Promise File 52-Lead Hazard Abatement in Progress(3) <br /> v7- eferred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> OB nvalid/Unable To Verily 51 -Lead Hazard Work Plan Submitted(2) <br /> Foodborne 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 Fife 56-Lead Hazard Abatement Completo(7) <br /> 13'Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14.Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> i <br /> 5104.rpt <br />