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Complaint Investigation Form Report M 5104 <br /> Ct)MPLAINT ID: C00032279 Site Location: 1172 N MAIN ST Account ID. AR0001854 <br /> Received by: EE0007541 FIELD Received Date: 7/1/2010 Print Date: 7/1/2010 2:48:59PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 7/1/2010 <br /> Pro ram/Eloment Code:1600-FOOD PROGRAM <br /> Complainant: :NANCY Nome Phone : 209-629-7812 <br /> Address <br /> Work Phone <br /> E-Mail Address <br /> Nature of com laint: <br /> (C)STATED THAT SHE WAS AT THIS FACILITY TODAY BETWEEN 1:30-1:45 PM. SHE WAS THERE APPROXIMATELY 30 MINUTES AND <br /> OBSERVED A GROCERY CART FULL OF CREAM CHEESE,SOUR CREAM,AND YOGURT THAT NEEDED TO BE STOCKED,WHILE <br /> EMPLOYEES STOCKED CANNED GOODS. DAIRY PRODUCTS IN CART WERE WARM TO TOUCH. (C)NOTIFIED THE MANAGER,FRANCISCO. <br /> THIS FACILITY ALSO WAS SELLING OUTDATE CREAM CHEESE. <br /> ***(C)REQUESTS A CALL BACK FROM INSPECTOR AFTER INSPECTION. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Councii C-Counter F-Fax <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Of re <br /> --- _. --- --_ ———— _ ___ <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000833-S-MART #386 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> Site Location 1172 N MAIN ST ,RPIDBA <br /> MANTECA,CA 95336 RPAddress 1800 STANDIFORD AVE <br /> Cross Street MAIN MODESTO,CA 95350-0180 <br /> Mailing Address: PO BOX 4278 Billing Address PO BOX 4278 <br /> MODESTO,CA 953524278 MODESTO,CA 95352-4278 <br /> Nome Phone :209-577-1600 <br /> Phone :209-239-2276 Work Phone :209-574-6275 <br /> District 003-13ESTOLARIDES Location Code 04-MANTECA <br /> APN 21821010 ll L <br /> Date Abated '� 4 1Z I 1� Inspector., L! <br /> 1 -- 1 --------.------ ---- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: COmplaint I-I i` `,'y <br /> Attached But Nut <br /> Circle appropriate Status Code Scanned <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 006 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL.-Case Closed <br /> 7-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104 pi <br /> a <br />