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�--� Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00013612 Site Location: 530 W LODI AVE Account ID: AR0000394 <br /> Received by.- EE0009157 BARCELLOS Received Date: 1/31/2000 <br />` Assigned 7o: EE0000467 CARRUESCO Assigned Date: 1131100 <br /> Program/Element Code:_140t-FOOD PROGRAM /d/f <br /> Complainant: ANA Nome Phone: ' <br /> Address: Work Phone: <br /> Nature of complaint: <br /> HAIR IN FOOD FROM DELI,NO HAIR NETS WORN <br /> Complaint Mode Complaint Mode Codes A-Agency Referr. B-Bd of Supervisors/City C-Co1ntE E-Code EnforcemE <br /> M-Mail/Correspondf O-Other EH Unit P-Phone <br /> 4 <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000395-LUCKY STORE#310 OW0000326-LUCKY STORE INC <br /> RP DBA: None Specified <br /> Site Location: 530 W LODI AVE RP Address: 1701 MARINA BLVD <br /> LODI,CA 95241 SAN LEANDRO,CA 94577 <br /> Mailing Address PO BOX 27447 Billing Address: PO BOX 5008 <br /> SALT LAKE CITY,UT 84127-0447 SAN LEANDRO, <br /> Phone 1st: 209-339-7170 Phone Hm: 510-678-4200 <br /> Wk: Number Not Specified <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Cade: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 008 <br /> Referred To Other Agency 53- Lead Hazard Visual Inspect Satisfactory(4) <br /> Invalid 1 Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11 -Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56- Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />