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Complaint Investigation Form Report#:5104 <br /> COMPLAINT l-. C00025623 Site Location: 1616 E MARCH LN AccountlD: AR0001708 <br /> Received by. EE0090753 MARTINEZ Received Date: 12/21/2006 Print Date: 4/10/2007 9:57:19AM <br /> Assigned To. EE0006213 PEDRAZA Assigned Date: 12/21/2006 <br /> Proram/Element Code 1600-FOOD PROGRAM rlCAN ED <br /> Complainant: :DORIAN Home Phone ; 209-403-8998 ►J <br /> Address : Work Phone <br /> Nature of complaint. <br /> ON 12/20/06 AROUND 7 PM,(C)WENT TO STORE AND PURCHASED THREE FILLETS OF SNAPPER FISH. WHEN (C)GOT HOME AROUND 9 <br /> PM,SHE WENT TO RINSE, FISH AND THEY SMELLED BAD. WHEN (C)BATTERED THE FISH,SHE SAW A WORM ON IT,AND CONTACTED <br /> STORE. STORE EMPLOYEES TOLD(C)THERE WAS NOTHING THEY COULD DO BUT REFUND HER MONEY TO HER. <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 f Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001709-S-MART#309 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> Site Location 1616 E MARCH LN RP/DBA <br /> STOCKTON,CA 95207 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 002-RUHSTALLER,LARRY location Code 01 -STOCKTON <br /> APN 09614020 <br /> Date Abated /o Inspector �j f <br /> Send Referral to v Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: U' <br /> Circle appropriate Status Code <br /> of-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 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 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed/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 <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31 -15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> r� 5104.rpt <br />