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k <br /> Complaint Investigation Form Report#:5104 <br /> 4 �Y <br /> COMPLAINT ID: C00026455 Site Location: 40 E NEUHARTH DR Account ID: AR0016877 <br /> i <br /> Received by: EE0003580 LE Received Date: 6/8/2007 Print Date: 6!8/2007 11:08:27AM <br /> Assigned To: EE0003580 LE Assigned Date: 6/8/2007 <br /> Program/Element Code:2547-GENERATOR RESPONSE STANDBY SCIMD <br /> Complainant: ;LODI FIRE DEPARTMENT Home Phone J <br /> Address Work Phone <br /> Nature of com Taint: <br /> FIRE OCCURRED IN THE BREAD OVEN IN THE MANUFACTURING PLANT. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> ---- --.._4` --- – – - ------ ------------ --- _, ----- .. <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0009877-COTTAGE BAKERY INC Owner: OW0007877-TERRY KNUTSON <br /> Site Location 40 E NEUHARTH DR RP/DBA COTTAGE BAKERY INC <br /> LODI,CA 95240 RP Address <br /> Mailing Address: 40 E NEUHARTH DR Billing Address PO BOX 1720 <br /> LODI,CA 95240 LODI,CA 92541 <br /> Home Phone <br /> Phone :209-333-8044 EXT: 0 Work Phone <br /> District 004-VOGEL,KEN Location Code 02-LODI <br /> APN 062190145 <br /> Date Abated �i1 L — Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FELE <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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> Completed <br /> 5104.rp1 fle <br />