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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID; 000034136 Site Location: 1172 N MAIN ST Account ID: : <br /> Received by., EE0002646 TRAM Received Date: 9/23/2011 Print Date: 9/26/2011 11:13!19AM <br /> Assigned 70: EE0002646 TRAN Assigned Date: 9/26/2011 <br /> ProaramlElement Code: 546-GENERATOR RESPONSE I CLEAN UP <br /> Complainant: : RANDY MAY, MANTECA FIRE DEPT Nome Phone ; I <br /> Address Work Phone <br /> I <br /> E-Mail Address <br /> Nature of complaint. <br /> AN ILLEGAL DUMP OF 1 GALLON CONTAINER CAUSED ORGANOPHOSPHORUS TO SPLASH ONTO ASPHALT OF PARKING LOT BEHIND <br /> SAVE MART. <br /> Complaint Mode: A Complaint Made Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> i <br /> E-Code Enforcement M-Mail I Correspondence 'O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> ------ ------------------ — _.------- ------ <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SAVEMART SUPERMARKET <br /> Site Location 1172 N MAIN RP/DBA S-MART 4386 l <br /> MANTECA,CA 95336 RPAddress 1172 N MAIN ST <br /> Cross Street MAIN MANTECA,CA 95336 <br /> Billing Address 1172 N MAIN ST <br /> Home Phone <br /> Phone ; Work Phone - <br /> District 003-BESTOLARIDES Location Code 04-MANTECA <br /> APN 21821010 <br /> Date AbatedInspector ID#. - �1 / <br /> T --- I- - d 4,201— — ------ ------------------- <br /> Send Referral to Referral Letter Sent by . <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> I <br /> C1 le appropriate Status Code <br /> 0 FIELD ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 02-OFFICE ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 03-NAI SENT 52-LEAD Abatement Reqired-See Program Record File <br /> 04-NOTICE TO ABATE ISSUED 97-Disaster Planning and Response <br /> 05-DA-ENFORCEMENT ACTION INITIATED 99-UNSPECIFIED-Old Complaint-No Original Found j <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY I <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIU N SECURED-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 /> I <br /> I <br /> i <br /> 51 .rpt <br />