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CO0043608
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1600 - Food Program
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CO0043608
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Entry Properties
Last modified
9/9/2021 3:11:36 PM
Creation date
2/1/2019 2:59:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0043608
PE
1600
FACILITY_ID
FA0022709
FACILITY_NAME
SAFEWAY STORE #1769
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
ENTERED_DATE
6/9/2017 12:00:00 AM
SITE_LOCATION
2808 COUNTRY CLUB BLVD
RECEIVED_DATE
6/9/2017 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2808\CO0043608.PDF
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EHD - Public
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Complaint Investigation Form Report#: 5104 <br /> • <br /> COMPLAINT ID: 000043808 Site Location: 2808 COUNTRY CLUB BLVD AccountlD: AR0041583 <br /> Receivedby: EE0007541 FIELD Received Date: 6/9/2017 Print Date: 6/9/2017 9:47:35AM <br /> Assigned Tc: E J FL�OHRSCHUTZ Assigned Date: 6/9/2017 <br /> Prooram/Element Code 6 ORETAIL MKT>1000 SO FT(=/>2 DEPTS) <br /> Complainant: :DAVID JOSEPHY Home Phone : 4p8-8234930 <br /> Work Phone <br /> Address <br /> -Mail Address <br /> Nature of complaint: <br /> (C)CALLED FROM FACILITY AND SAID DELI CUTTING BOARD WHERE SANDWICHES ARE MADE WAS A MESS.DELI MGR STATED"THIS <br /> PLACE IS A MESS:'AS SHE SWEPT FOOD OFF CUTTING BOARD INTO GARBAGE(C)STATED,"I HOPE I DON'T GET SICK."DELI MGR <br /> REPLIED,"I HOPE NOT." (C)ALSO SAID 2-3 WEEKS AGO,HE WAS AT THE DELI COUNTER AND ORDERED A BURRITO FROM A VERY <br /> SHORT FEMALE. THE EMPLOYEE DROPPED BURRITO ON FLOOR AND ASKED(C)IF HE STILL WANTED IT. '--(C)REQUESTS CALL BACK. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> ———————— <br /> ------_- - ------ - _--------------------- <br /> ——— <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0022709-S.AFEWAY STORE#1769 Owner: OW0000429-SAFEWAY INC <br /> Site Location 2808 COUNTRY CLUB BLVD RP/DBA : <br /> STOCKTON,CA 95204 RP Address 5918 STONERIDGE MALL RD <br /> Gross Street PLEASANTON,CA 94588 <br /> Mailing Address: PO BOX 29096 MS 6516 Bitting Address PO BOX 29096 MS 6516 <br /> PHOENIX,AZ 85038 PHOENIX,AR 85038-9096 <br /> Nome Phone :925-467-3000 <br /> Phone :2094161-5555 Work Phone <br /> District 003-BESTOLARIDES,STEVE Location Code 01-STOCKTON <br /> APN <br /> Date Abated ry 15�� Inspector ID#: Rph r5c)u4----------------------------------------- <br /> fZ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address <br /> Date: <br /> Complaint Status Code: D <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08 Unable to Verify Alleged Complaint PD-Permit <br /> MN- Monitoring Status <br /> mit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> tqn <br /> omp aint Reviema y: i ..l <br /> ate: pdate by: 1' <br /> 5104.rpr <br />
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