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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: IkO0027696 Site Location: 1616 E MARCH LN AccountlD.- AR0001708 <br /> Received by: El10000467 CARRUESCO Received Date: 2/7/2008 Print Date: 2/8/2008 8722:02AM <br /> 4 <br /> Assigned 7o: EE0006213 PEDRAZA Assigned Date: 2/8/2008 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :STOCKTON FIRE DEPARTMENT Rome Phone <br /> Address : Work Phone <br /> Nature of complaint.- <br /> "IDE <br /> om Taint^FIRE INSIDE BAKERY. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> ————E_Code Enforcement M-Mail i Correspondence O-Ocher EH Unit P-Phone <br /> ----------------------- --------------- 3 <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001709-S-MART 4309 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> Site Location 1616 E MARCH LN RP/DBA <br /> . f <br /> STOCKTON,CA 95207 RPAddress <br /> <br /> <br /> <br /> <br /> <br /> District 002-RUHSTALLER,LARRY Location Code 01-STOCKTON <br /> i <br /> APN 09614020 <br /> Date Abated M 16 r Inspector: �'2-1 <br /> - ------------- - ---------------------------------- <br /> Send <br /> ------ ------ --- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complafnt Status Code: <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 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 6P6 EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> P7 <br /> REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed l 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 Complaint H15tq y <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) SC� i� <br /> x�^ <br /> 5104.rpt <br />