Laserfiche WebLink
r tib ; <br /> l� Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: 000022509 Site Location: 4104 SECTION AVE Account 1D: AR0002144 <br /> Receivedby. EE0009058 LOWE ii Received Date: 4/6/2005 Print Date: 4/6/2005 12:22:25PM <br /> Assigned To: EE0003474 VEGA Assigned Date: 4/6/2005 i <br /> i <br /> ProgramlElement Code:1600-FOOD PROGRAM <br /> Complainant: ; KATHREEN HILL Home Phone : 209-430-4391 <br /> Address Work Phone :209-513-4285 i <br /> 1 <br /> II <br /> Nature of com laint <br /> (C)ALLEGES THAT THE ABOVE FACILITY IS SELLING SAUSAGE, HOT POCKETS,AND BREAD WITH MOLD. SELLING OUTDATED SODAS. <br /> BOUGHT CEREAL CONTAINING WEAVELS. <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 1 Correspondence O-Other EH Unit P-Phone <br /> ---------______ ____________________________ 1 <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002134-WOODYS RI RITE MARKET Owner: OW0001660-NGUYEN,VANG THE <br /> Site Location 4104 SECTION AVE <br /> RP/DBA WOODYS BI RITE MARKET <br /> STOCKTON,CA 95215 i! RP Address 2027 ROSEMARIE LN 169 <br /> STOCKTON,CA 95207 <br /> Mailing Address: 4104 SECTION AVE Billing Address 2027 ROSEMARIE LN 169 <br /> STOCKTON,CA 95215 ° STOCKTON,CA 95207 , <br /> Home Phone ;209-952-3391 ! <br /> Phone :2O9-463-2037 IM Work Phone :209463-2037 <br /> i District 002-MARENCO,DARIO Location Code 99-UNINCORPORATED AREA <br /> APN 17318101 f. <br /> Date Abated — u /��O ir Inspector; 3 <br /> 7 :' <br /> Send Referral to it Referral Letter Sent by <br /> s <br /> Referral Address Date., <br /> Complaint Status Code: I' <br /> li <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# i <br /> 03-NAI SENT Ij 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED I 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED n 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE49- ! <br /> EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE i <br /> 07-REFERRED TO OTHER AGENCY II 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <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# I! 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE IM 52-LEAD HAZ ABATEMENT IN PROGRESS(3) M <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) h <br /> f <br /> �I I <br />{ <br /> !i <br /> 5104,rpt <br /> -- - - d <br />