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s Gt) Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032322 Site Location: 530 W LODI AVE Account ID: AR0000394 <br /> Received by: EE0005692 FRENCH Received Date: 7/13/2010 Print Date: 7/13/2010 11:07:22AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 7/13/2010 <br /> Proarem/Element Code-1600-FOOD PROGRAM <br /> Complainant: :ANNONYMOUS Nome Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> COCKROACHES ON SHELVES:MOLD ON BLUEBERRIES <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors!Ci Council <br /> hf C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> [-Internet 1 Email S-Sheriffs Office <br /> ----------------------------------------- — -----—— ————— _________ __ <br /> FACILITY INFORMATION OWNER INFORMATION `— — <br /> Facility:FA0000395-SAVE MART#655 Owner: OW0000369-SAVE MART SUPERMARKETS <br /> Site Location 530 W LODI AVE RP/DBA <br /> LODI,CA 95241 RP Address 1800 STANDIFORD AVE <br /> Cross Street LODI MODESTO,CA 95350-0180 <br /> Mailing Address: PO BOX 4278 Billing Address PO BOX 4278 <br /> MODESTO,CA 95352 MODESTO,CA 95352-4278 <br /> Nome Phone ;209-577-1600 <br /> Phone :209-339-7170 Work Phone :209-574-6275 <br /> District 004-VOGEL,KEN Location Code 02-LODI <br /> APN 03319037 <br /> __--Date Abated ---,� � U —`--�— inspector- <br /> Send Referral to Referral LetterSent by `——j—(%— — <br /> Referral Address <br /> Date: <br /> Complaint Status Code: W <br /> Circle appropriate Status Code <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 /> 0 NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> O6 EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDlUNSECURED-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,rpt <br />