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g Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000029281 Site Location: 16900 W SCHULTE RD Account ID: <br /> Receivedby: E0000321 OLIVEIRA : Received Date: 10/20/2008 Print Date: 10/20/2008 4:24:53PM <br /> Assigned To: EE0004045 TASIOPOULOS Assigned Date: 10/20/2008 j <br /> Proram/Elemon Cod 0-LIQ ASTE PROGRAM <br /> Complains t: :DON ROBINS N Nome Phone 209-901-6284 <br /> Add" Work Phone <br /> Nature of complaint <br /> ONE OF(C)'S TRUCK DRIVERS WENT TO THE FACILITY TODAY,AND HE ATTEMPTED TO USE THE CHEMICAL TOILET PROVIDED FOR <br /> TRUCK DRIVERS AND FOUND THAT IT WAS VERY UNSANITARY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> I <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SAFEWAY DISTRIBUTION CENTER <br /> Site Location ]6900 W SCHULTE RP/DBA SAFEWAY INC ` <br /> TRACY,CA 95377 RP Address 16900 W SCHULTE RD <br /> Cross Street TRACY,CA 95376 <br /> Billing Address 16900 W SCHULTE RD �— <br /> Nome Phone <br /> Phone :209-833 4700 Work Phone - <br /> `_- <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 20943001 <br /> Date Abated /o Inspector. <br /> Send Refers!to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 12! <br /> Circle appropriate Status Code/1 <br /> 0 IELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 2-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 Complaint Histo s , <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Attached But Not, <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE v" .50-LEAD HAZ EVALUATION REQUIRED(1) Seamed <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> i Y <br /> 1 , <br /> � t <br /> f <br /> qxpt <br /> q <br />