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Complaint Investigation Form r <br /> vc—)_ � Report#:5104 <br /> COMPLAINT ID: 000031239 Site Location: 704 INDUSTRIAL PARK DR AccountlD: AR0019649 <br /> Received by: EE0007541 FIELD Received Date: 11/13/2009i <br /> Print Date:11/13%2009 1:07:16PM i <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 11/13/2009 <br /> Prog_ram/Element Code•1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS SENIOR Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of com laint: <br /> (C)STATED THAT THIS FACILITY IS GIVING OUT OUTDATED FOOD THAT IS OVER A MONTH OLD(IE:YOGURT,ORANGE JUICE, ETC...)AND <br /> SOMETIMES THE FRESH VEGETABLES ARE ROTTEN. (C)IS CONCERNED BECAUSE SOME OF THE SENIORS THAT RECEIVEDHESE FOOD <br /> ITEMS ARE BLIND AND CANNOT SEE THE'BEST-BY"DATES. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counier F-Fax <br /> --------- <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> -- ------------------------------ <br /> FACILITY <br /> __ <br /> FACILITY INFORMATION OWNER INFORMATION — — —— <br /> Facility:FA0012202-SAN JOAQUIN FOOD BANK Owner: OW0009461 -SAN JOAQUIN FOOD BANK <br /> Site Location 704 INDUSTRIAL PARK DR RP/DBA <br /> MANTECA CA 95337 RPAddress 70 INNDUSTRIAL PARK DR <br /> Cross Sheet MANTECA,CA 95337 !" <br /> Mailing Address: 704 INDUSTRIAL PARK DR Billing Address 704 INDUSTRIAL,PARK DR <br /> I <br /> MANTECA,CA 95337 MANTECA,CA 95337 <br /> Nome Phone :209-239-2091 <br /> Phone Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 04-MANTECA <br /> APN 22119027 hh �� ( <br /> Date Abated l V Inspector. o �-1 <br /> —————— —————— _ —___ __ __ <br /> Send Referral to Referral Letter Sent by —— <br /> Referral Address Date: <br /> Ih <br /> Complaint Status Code.{j�� Complaint t4l9karyArched Mit Not <br /> d <br /> Circle appropriate Status Code Scanne <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response p <br /> 0 NOTICE TO ABATE ISSUED 99-UNSPECIFfED-Old Complaint-No Original Found-Pre-tracking <br /> 6 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> i <br /> 10-POSTED SU8STANDARDlUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> 510/ <br />