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Complaint Investigation Form Report#:5104 <br /> OMPI AINT ID: 000019149 Site Location: 875 S TRACY BLVD Account ID. AR0012224 <br /> Received by: EE0009058 LOWE Received Date: 6/13/2003 Print Date: 6/17/2003 2:35:13PM <br /> Assigned To: EED003361 FLOHRSCHUTZ Assigned Date: 6/13/2003 <br /> Program/Element Code:1619-RETAIL MKT X1000 SQ FT(=/>2 DEPTS) <br /> Complainant: :CORINA Nome Phone <br /> Address Work Phone 209-835-0022 <br /> Nature ofcom laint. <br /> (C)STATES MOLD IS BACK ON CEILING TILE SEE C00018993. INSPECTOR PLEASE CALL(C)AFTER 12:30 M-F AFTER INSPECTION. <br /> Complaint Mode: P Compfaint 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 /> ------ - ------------------------------------------ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0007582-ALBERTSONS#7295 Owner: OW0006258-LUCKY STORES INC <br /> Site Location 875 S TRACY BLVD RP/DBA AL.BERTSON'S <br /> TRACY,CA 95376 RP Address PO BOX 20 <br /> BOISE,ID 83726 <br /> Mailing Address: PO BOX 20 Billing Address PO BOX 20 <br /> BOISE,ID 83706 BOISE,ID 83706 <br /> Home Phone :208-895-6785 <br /> Phone :209-930-1980 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APV <br /> Date Abated 1�,� �3 Inspector: 6� <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <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 /> 06-EHD PERMIT FACILITY-see Linked PREMISE FILE 28-FOODBORNE ILLNESS-Unconfirmed <br /> 07-REFERRED TO OTHER AGENCY 29-FOODBORNE ILLNESS-Confirmed <br /> 08-UNABLE TO VERIFY 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 09-FOODBORNE ILLNESS 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 55-LEAD HAZ MON iTOSOHED(6) <br /> o� <br /> o� <br /> o� <br /> 5104.rpt <br />