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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039040 Site Location: 1172 N MAIN ST AccountlD AR0001854 <br /> Received by EE0003611 GIRARDI Received Date: 12/31/2014 Print Date. 12/31/2014 9:35:03AM <br /> Assigned To: EE0005366 MEDINA Assigned Date: 12/31/2014 <br /> Program/Element Code.1600-FOOD PROGRAM <br /> Complainant: : KAREN GRUPE <br /> Home Pho e 209-825-8925 dr-i2YY" � � <br /> Address Work Pho <br /> -Mail Address <br /> Nature of complaint: <br /> FOOD HANDLERS DO NOT WEAR HAIR NETS. FOUND A STRAND OF HAIR IN SPINACH DIP. <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> N'acility:FA0000833-Save Mart#386 Owner: OW0000369-Save Mart Supermarkets <br /> Site Location 1 172 N Main St RP/DBA : <br /> Manteca,CA 95336 RP Address 1800 STANIFORD AVE <br /> Cross Street MAIN MODESTO,CA 95350 <br /> Mailing Address: 1800 Standiford Ave. Billing Address 1800 Standiford Ave. <br /> Modesto,CA 95350 Modesto,CA 95350 <br /> Home Phone :209-574-6299 EXT: 1 I 1 <br /> Phone :209-239-2267 EXT: Work Phone :209-577-1600 EXT: <br /> District 003-BESTOLARIDES Location Code <br /> APN <br /> Date Abated �/� Inspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date <br /> Complaint Status Code: O� <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> A-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 6- HD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />