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i Complaint Investigation Form Report 5104 <br /> COMPLAINT ID: C00018540 Site Location: 530 W LODI AVE Account 1D: AR0000394 <br /> Receivedby: EE0000467 CARRUESCO Received Date: 1/24/2003 <br /> Assigned To: EED000467 CARRUESCO Assigned Date: 1/24/2003 <br /> Program/Element Code 1619-RETAIL MKT>1000 SQ FT(=1>2 DEPTS) <br /> Complainant: NANCY BAKER,CODE ENFORCEMENT Rome Phone: <br /> Address: <br /> Work Phone: <br /> Nature of complaint. <br /> SURFACING SEWER IN FRONT OF GROCERY STORE. j <br /> Complaint Mode A Complalnf MadeCodes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> I <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000395-ALBERTSONS#7208 Owner: OW0000326-ALBERTSONS INC <br /> RPIDBA: <br /> Site Location: 530 W LODI AVE <br /> LODI,CA 95241 RP Address: 1701 MARINA BLVD <br /> Mailing Address: PO BOX 20 SAN LEANDRO,CA 94577 <br /> BOISE,ID 83726 Billing Address:: PO BOX 5008 <br /> SAN LEANDRO,CA 94577 <br /> Phone: 1st: 209-339-7170 Phone: Hm: 510-678-4200 <br /> Wk: 209-339-7170 <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated <br /> lnspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by.- <br /> Date: <br /> y.Date: <br /> Complaint Status Code: <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 Leiter Sent m Cotaint <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) p �t History <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) Attached But Not <br /> 07-Referred To Other Agency 53-Lead Hazard Visual inspect Satisfactory(4) <br /> 08-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) Seamed <br /> 09-Foodbome 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 W1Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rpt <br />