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Complaint Investigation Form Report*5104 <br /> C09PLAINT ID: C00020071 Site Location: 1616 E MARCH LN Account 1D: AR0001708 <br /> Received by: EE0090753 MARTINEZ Received Date: 12/5/2003 Print Date: 12/5/2003 12:39:28PM <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 12/5/2003 <br /> Program/Element Code 1619-RETAIL MKT X1000 SQ FT(=/>2 DEPTS)- <br /> Complainant: :JAMES Home Phone <br /> Address Work Phone :209-9-)1-1692 <br /> i <br /> Nature of complaint. <br /> (C)SAW MOUSE BY DOG FOOD&AALSO INSIDE DELI CASE. <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!Correspondence O-Other EH Unit P-Phone <br /> -------------- ------ ------ I <br /> FACILITY INFORMATION OWNER INFORMATION ! <br /> Facility:F'A0001709-S-MART#309 Owner: OW0000369-SAVE MART <br /> SiteLocation 1616E MARCH LN RP/DBA S-MART FOODS <br /> STOCKTON,CA 95207 RP Address <br /> <br /> <br /> <br /> <br /> <br /> <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN 09614020 <br /> Date Abated ,a— 10--03 Inspectors ,{ � <br /> -----_._ __— ------ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Code: 0 <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 /> o5-ENFORCEMENT ACTION{NITIATED 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 FIL 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLO WASTE FIL � 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> np <br /> 5104.rpi <br />