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CO0052318
EnvironmentalHealth
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1600 - Food Program
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CO0052318
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Entry Properties
Last modified
9/4/2020 1:23:43 PM
Creation date
8/31/2020 9:45:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0052318
PE
1600
FACILITY_ID
FA0000833
STREET_NUMBER
1172
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
Zip
95336
APN
218-210-10
ENTERED_DATE
7/22/2020 12:00:00 AM
SITE_LOCATION
1172 N MAIN ST
RECEIVED_DATE
7/22/2020 12:00:00 AM
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
ADMIN
Tags
EHD - Public
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n&lvl <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052318 Site Location: 1172 N MAIN ST Account ID: AR0001854 <br /> Received by: EE0000014 MORENO Received Date: 7/22/2020 Print Date: 7/22/2020 3:38:06PM <br /> Assigned To: EE0078788 FAHMY Assigned Date: 7/22/2020 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> NOT PROPERLY CLEANING,NOT PROPERLY WASHING OR SANITIZING,EMPLOYEES NOT FOLLOWING PROPER HAND WASHING <br /> PROCEDURES. <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 <br /> — -- ----- ----- -- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0000833-Save Mart#386 RP DBA <br /> Site Location 1172 N Main St RP mailing address <br /> Manteca,CA 95336 <br /> Cross Street LOUISE <br /> Mailing address 1800 Standiford Ave. RP contact <br /> Modesto,CA 95350 RP contact phone <br /> Phone 209-239-2267 EXT: <br /> Owner: OW0000369-SAVE MART SUPERMARKETS <br /> DBA <br /> Owner address 1800 STANDIFORD AVE <br /> MODESTO,CA 95350 <br /> Billing Address 1800 STANDIFORD AVE <br /> MODESTO,CA 95350 <br /> Home Phone 209-574-6299 EXT: I I 1 <br /> Work Phone 209-577-1600 EXT: <br /> District 003-PATTI,TOM Location Code 04-MANTECA <br /> APN 218-210-10 <br /> Date Abated ,© 2,() Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 1 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 /> it-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 /> ompamtReviewed y: it ate: p ate y: at <br /> 5104.rpt �� <br />
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