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Complaint Investigation Form Report#:5104 <br /> COIiV PLAINT.ID: C00021693 Site Location: 1172 N MAIN ST AccountlD: AR0001854 <br /> Received by: EE0009157 BARCELLOS Received Date: 10/21/2004 Print Date:(0/22/2004 11:57:36AM <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 10/2212004 <br /> Praoram/Etement Code:1600-FOOD PROGRAM <br /> Complainant: :CUSTOMER Nome Phone <br /> Address Work Phone <br /> Nature of Com Taint: <br /> FOUND DEAD FLY UNDER RIB EYE STEAK IN PACKAGE, BOUGHT ON 10/20/04 AROUND 5:OOPM CUSTOMER DISCARDED STEAK. <br /> i <br /> i <br /> Complaint Mode: P Complaint Mode CodesA-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail f Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------- <br /> FACILITY <br /> ------- ---._----------------- — ___.._ -- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000833-S-MART #386 Owner: OW0000369-SAVE MART <br /> Site Location 1172 N MAINST RP/DBA S-MART FOODS <br /> MANTECA,CA 95336 RP Address 1800 STANDIFORD <br /> MODESTO,CA 95355 <br /> Mailing Address: PO BOX 4278 Silting Address PO BOX 4278 <br /> MODESTO,CA 95352-4278 MODESTO,CA 95252 <br /> Home Phone :209-577-1600 <br /> Phone :209-239-2276 Work Phone :209-334-6853 <br /> District 003-MOW,VICTOR Location Cade 04-MANTECA <br /> APN 21821010= <br /> Date Abated t,� 1 ILC,( p+ Inspector q 17 <br /> Send Referral to �J Referral Letter Sent by <br /> Referral Address Date: <br /> t­„rnpfaint History <br /> AtLached But Not <br /> Complaint Status Coder Scanned <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS.(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> CC � <br /> 5104.rpt <br />