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Complaint Investigation Form Report#:5104 <br /> COMPLAI . D: C00021781 Site Loca,,.,n: 875 S TRACY BLVD { ccountID: AR0012224 <br /> Received by: EE0003580 LE Received Date: 11/1212004 Print Date:11/15/2004 8:25:18AM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 11/15/2004 <br /> Proram/Element Code:1600-FOOD PROGRAM <br /> Complainant: ; EMPLOYEE Home Phone <br /> Address Work Phone f <br /> I <br /> Nature of complaint. <br /> FLIES ARE SWARMING IN THE DELI.TWO BIRDS ARE LIVING IN THE BAKERY AND DEFECATING ON FOOD AND FRUIT.BIRDS ARE IN THE <br /> TOP SHELF OF THE ALUMINUM PANS.MANAGER JUST WANTS TO TURN THE FANS ON. <br /> ( <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 /> ---- ---------------------------------------- <br /> FACILITY <br /> ------------------------------------------- — - -FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0007582-ALBERTSONS N7295 Owner: OW0006258-LUCKY STORES INC <br /> Site Location 875 S TRACY BLVD RP/DBA ALBERTSON'S <br /> TRACY,CA 95376 RPAddress PO BOX 20 <br /> BOISE,ID 83726 <br /> Mailing Address. PO BOX 20 Billing Address p0 BOX 20 <br /> BOISE,ID 83706 BOISE,ID 83706 <br /> Home Phone :208-895-6795 <br /> Phone ;209-830-1980 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 24202022 <br /> Date Abated If1_2�__Oq Inspector.• J, <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint 11istory <br /> Attached But Not <br /> Complaint Status Code.i <br /> Scanned <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 /> X05-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 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> G <br /> 5104.rpt <br /> f <br />