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�^ ;6 . To 0 .', <, A 1 .'i���L�IJ i `I �)`.'S i1` l: it-?i x PEA', H R ' C 3e�-`" ,#5"_04 <br /> ' <br /> Run i 4: 1-5HE 'LYIf <br /> � la:C�,- # <br /> Copy 01 Of ()I COMPLAINT TNVFSTICATIO RE=PORT <br /> COMPLAINT # = C00O48O2 Pr:rgram/Elem nt- 1600 <br /> TaOp by ! 0628 SHELLY PRATER gate: 10112/45 Assigned to ! 5756 ERNESTG ?A 08^ Gate: <br /> Har,J c-,py Pr;at d; <br /> Facility Name : SAFC1,,JAY 5TtJF;ES #1264 Iii` = 002.9n0 <br /> BML 1.0 irvertoriad FAULITY: <br /> Location: 1 qr-0 t� 1.1 T f1"uSt ;gave FACIl:TY 'G4', <br /> orttPi.,dz,rant: ' <br /> .. <br /> FACILITY LOCATION/Property Infra — <br /> DPA or Name: SAFF'WAY STORES tt 1264 Lo,-, 03 <br /> A6d,r ez;s ° 1950�.. W11TH ST. <br /> ,czt,y° : TFZACY 9 376 APN <br /> Phone- 209-239-9327 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name, SAFWAY S T ORE=} IN( Hc) . Ph r) 209._ ?39__°3227 <br /> A;ld-c s- 4740 K T9, C WIDrk PhOnc:-, <br /> r <br /> '�at�s.e �: ;.omPlazat: <br /> ROUGHT HAMBURGER ME;=,T ON 1.03/11 AND, IT WAS {;POT'.-ED . TRTE , T" ,:r-T THE N'^ <br /> TCS PULl- THE MEAT OFF THE SHE-! F F ANCA SIDE WOULDNT <br /> I a <br /> COMPLAINT Infer — <br /> ,^ �PLAT11T t't00E• P PH,,NE <br /> t-Agt3r�r RFarrax rs-EC OF Superv:sorsi- tl Ccvunci: rlounter h'.-t�ail� crreSPoa�e+tce <br /> v^-Otye; 7Zri Unit P-Phone <br /> CONP"AINT TATUS: ' <br /> G1 -Aeid Abated 02-off:ce Abated 0: gar Sent J4-Nolif�a to Aute T$Sijad 05-cnf3rce AC" Tnil_ated <br /> S-T:at.sfe� tc Precise File r7-Refer to Other Ag6ucy 00t 'Valid 09-Foodbor,r.e Ii�r.a s <br /> 1 �. + t 0 i r a a t .f r C/ <br /> e au r vat., ..F1. _F :vla,?t . a oOer RGGRAY, ,U k diction. Na • o p' i,?� R2.ord,and E plate <br /> For arded to Uf�IT TT TTI IV for Tnvestigation <br />