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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052404 Site Location: 2449 W KETTLEMAN LN Account ID: AR0041568 <br /> Received by: EE0009830 SAUERS Received Date: 8/6/2020 Print Date: 8/6/2020 4:44:11 PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 8/6/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THE EMPLOYEES ARE NOT ENFORCING THE MASK MANDATE,THERE ARE NUMEROUS CUSTOMERS IN THE <br /> STORE NOT WEARING A MASK. <br /> —PLEASE CALL COMPLAINANT WITH RESOLUTION <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 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ----------------------------------------------- --- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0022701-SAFEWAY#1648 RP DBA <br /> Site Location 2449 W KETTLEMAN LN RP mailing address <br /> LODI,CA 95242 <br /> Cross Street LOWER SACRAMENTO <br /> Mailing address PO BOX 29096 MS 6516 RP contact <br /> PHOENIX,AZ 85038--909 RP contact phone <br /> Phone 209-367-7875 <br /> Owner: OW0000429-SAFEWAY INC <br /> DBA <br /> Owneraddress 5918 STONERIDGE MALL RD <br /> PLEASANTON,CA 94588 <br /> Billing Address PO BOX 29096 MS 6516 <br /> PHOENIX,AR 85038-9096 <br /> Home Phone 925-467-3000 <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 02-LODI <br /> APN 02741005 ,1 <br /> Date Abated Z S I Inspector ID#: 1 <br /> --- <br /> -----4-- <br /> ----------- <br /> --- a44 <br /> r-t L----------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code.{�� <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 F 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 /> ompaint Reviewed by: ;�O ate: Updated by: ate: <br /> 5104.rp1 <br />