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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: CORSM9KZJ Site Location: 4725 QUAIL LAKES DR Account ID: <br /> Received by: EE0004636 BACKUS Received Date: 4/30/2020 Print Date: 5/4/2020 8:51:40AM <br /> Assigned To: EE0004636 BACKUS Assigned Date: 4/30/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> Vandals set a pallet of plastic recyclables on fire outside the back door of the facility. There is possible fire/smoke damage of the store food products. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA Save Mart <br /> Site Location 4725 QUAIL LAKES DR RP mailing address 1800 Standiford Ave <br /> STOCKTON,CA 95207 Modesto,CA 95350 <br /> Cross Street MARCH LANE <br /> Mailing address RP contact Steve Wey-store manager <br /> RP contact phone 209-952-0525 <br /> Phone <br /> Property Owner <br /> DBA <br /> Owner address <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District Location Code <br /> APN <br /> Date Abated S!� ZO Inspector ID#: <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Revjpy'. ate: Datq� n <br /> 51 u D <br />