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` - Complaint Investigation Form Report#:5104 <br /> COMPLAINT im comem Site Location: 1172 N MAIN ST AcaountlD: AR0001854 <br /> Recalwed by: EE0000321 OLIVEIRA Received Date: 9/6/2007 Print Date: 9n/2007 6:21:57AM <br /> Assigned To: EE0001064 RAMIREZ Assigned Date: 917!2007 SCANNED <br /> -FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone ; <br /> Address Work Phone <br /> Nmwro of Int <br /> ON 916/07,(C)OBSERVED EMPLOYEE TRANSFER SALADS TO DELI DISPLAY CASE CONTAINERS WITH BARE HANDS. (C)FEELS UTENSILS <br /> SHOULD BE USED FOR THIS TASK. <br /> Com#daint Mode: P ConVaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------------- <br /> FACILITY <br /> ___—_._ — T _._— ,--- __..—_._---- -------------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Fatality:FADDOMW-S-MART #386 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> 3Ke LoWtib0 1172 N MAIN ST RP/DBA ; <br /> MANTECA,CA 95336 RP Address 1800 STANDIFORD AVE <br /> MODESTO,CA 95350-0180 <br /> Mme+»g Addess: PO BOX 4278 8!lling Address PO BOX 4278 <br /> MODESTO,CA 95352-4278 MODESTO,CA 95352-4278 <br /> Home Phare :209-577-1600 <br /> Phone :209-239-2276 Work Phan :209-574-6275 <br /> Drag 003-MOW,VICTOR Location Code 04-MANTECA <br /> APN 21821010 <br /> Date Abated I f Inspector: 10914 <br /> --------)�—�l—f -----------------_ ------- ----- <br /> Send Referral to Referral Letter Sent by <br /> Relanal Ad*m Date: <br /> ComplaintStshm Code: t/( <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 19-ENFORCEMENT CASE-Transferred to VECTOR CONTROL F ILE <br /> [Oe la EHD PERMIT FACILITY-on 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 Complaint HlstorY <br /> 11-Will*Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> Attached But Not <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) SC <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> le[ <br /> #Qd <br /> cam� P <br /> 5104.nA <br />