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Complaint Investigation Form Report#1:5104 <br /> COMPLAINT ID; C00013645 Site Location: 1950 W 11TH ST. Account ID:AR0002542 <br /> Received by.- EE0007829 GAGAZA Received Date: 2/5/2000 <br /> Assigned To: EE0003497 QUINLIN Assigned Date: 2/5/00 <br /> Program/Element Code: t6eO-FOOD PROGRAM, /9 <br /> Complainant: <br /> <br /> Nature of Complaint: <br /> [ UGHT CHINESE FOOD AT DELI, FOUND HAIR AND COCKROACH IN FOOD, EMPLOYEES ALSO NOT WASHING HANDS BETWEEN <br /> HBCANDLING FOOD AND MONEY <br /> Complaint Mode Complaint Mode Codes A-Agency Refern B-Bd of Supervisors/City C-Countf E-Code EnforcemE <br /> M-Mail/Corresponds 0-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> I <br /> Facility: FA0002980-SAFEWAY STORES#11264 OW0000429-SAFEWAY INC <br /> Site Location: 1950 W 11TH ST <br /> TRACY,CA 95376 RP Address: 47400 KATO RD <br /> Mailing Address: PO BOX 29096 <br /> PHOENIX,AR 85038-9096 Billing Address: PO BOX 29096 <br /> Phone: 1st: 209-239-9327 PHOENIX,AR 85038-9096 <br /> Phone: Hm: 209-239-9327 <br /> Wk: <br /> District: 005-CABRAL,ROBERT Location Code: 03-TRACY <br /> APN: <br /> Date Abated: <br /> Inspector. <br /> Send Referral to: <br /> Referral Letter Sent by: <br /> Referral Address: 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 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 I 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 (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE Ple 56-Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant WlSoif Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> F <br /> 0104.rpt <br />