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" z Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00023323 Site Location: 1172 N MAIN ST Account ID: ARD001854 <br /> Received by: EE0000321 OLIVEIRA Received Date: 9/7/2005 Print Date: 9/7/2005 8:10:26AM <br /> Assigned To: EE0007380 SHIN Assigned Date: 9/7/2005 <br /> Proaram/Efement Code:1600-FOOD PROGRAM <br /> Complainant: :LOIS WOOLEDGE PHS Nome Phone <br /> Address Work Phone <br /> Nature of complaint: <br /> PERSON DIAGNOSED WITH VIBRIO PARAHAEMOLYTICUS ONLY. SEAFOOQ EATEN WAS OYSTERS PURCHASED AT SAVE MART ON <br /> 08120105. AFFECTED INDIVIDUAL ATE BOTH RAW AND BARBECUED OYSTERS AND WAS THE ONLY PERSON EATING OYSTERS WHO <br /> BECAME ILL. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspond L nee O-Other EH Unit P-Phone <br /> i <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000833-S-MART tt386 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> Site Location 1172 N MAIN ST RP/DBA SAVE MART,S-MART,FOOD MAXX <br /> MANTECA,CA 95336 RP Address 1800 STANDIFORD AVE <br /> MODESTO,CA 95350.0180 <br /> Mailing Address: PO BOX 4278 Billing Address PO BOX 4278 <br /> MODESTO,CA 95352-4278 MODESTO,CA 95352-4278 <br /> Nome Phone :209-577-1000 <br /> Phone :209.239-2276 Work Phone :209-574-6275 <br /> District 003-MOW,VICTOR Location Code 04-MANTECA w/ n <br /> APN 21821010 SC�+ <br /> Date Abated c Inspector. 3 <br /> llb <br /> ---------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> ComplaMT Tlistory <br /> Attached But Not <br /> Scanned <br /> Complaint Status Code: <br /> � <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 4o 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 <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11 -Multiple Complaints-SEE ACTIVE CASE* 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 5104.rp1 <br />