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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00021964 Site Location: 4104 SECTION AVE AccountlD. AR0019048 <br /> _i;t <br /> Received by: EE0003600 BLACKWELL Received Date: 12/20/2004 Print Date:12/20/2004 11:41:19AM <br /> Assigned To: EE0003474 OM Assigned Date: 12/20/2004 <br /> ProaranVElement Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> Nature of complaint. <br /> ON 12-16-04 COMPLAINANT WITNESSED EMPLOYEES SPRAYING WINDOW CLEANER INSIDE THE DISPLAY CASE WITHOUT COVERING THE <br /> MEAT. <br /> Complaint Mode: PComplaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ------------- --------------- ._ -------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0012013-LA TAPATIA MEAT MARKET Owner: OW0009312-ZIEPEDA,RAUL <br /> Site Location 4104 SECTION AVE RP/DBA : <br /> STOCKTON,CA 95215 RP Address 2339 W HAMMER STE C LN <br /> STOCKTON,CA 95209 <br /> Mailing Address: 4104 SECTION AVE Billing Address 5676 NATOMA CIR <br /> STOCKTON,CA 95215 STOCKTON,CA 95219 <br /> Nome Phone :209-476-8158 <br /> Phone :209-466-7716 Work Phone <br /> District 002-MARENCO,DARIO Location Code 99-UNINCORPORATED AREA <br /> APN 17318101 <br /> Date Abated �oZ / Inspector.• 3,f 7L/ <br /> ————— <br /> --— ———————— ————— ——————————————— <br /> i <br /> Send Referral to Referral Letter Sent by <br /> Refema!Address Date: <br /> ComplainCornplaint HistorY <br /> Attached But Not i <br /> Complaint Status Code: 66 Scanned 1 <br /> Circle appropriate Status Cade <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 /> i <br /> 06- HD 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 UEC PROGRAM FILE <br /> I <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 51-LEAD HAZ WORK PLAN SUBMITTED(2) j <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) i <br /> I <br /> 1 <br /> S <br /> ENTERED <br /> I <br /> i <br /> 5104.rp1 <br />