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CO0038940
Environmental Health - Public
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1600 - Food Program
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CO0038940
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Last modified
9/4/2020 1:38:15 PM
Creation date
2/8/2019 7:19:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0038940
PE
1600
FACILITY_ID
FA0000395
FACILITY_NAME
S-MART #655
STREET_NUMBER
530
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95241
APN
03319037
ENTERED_DATE
12/4/2014 12:00:00 AM
SITE_LOCATION
530 W LODI AVE
RECEIVED_DATE
12/4/2014 12:00:00 AM
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\L\LODI\530\CO0038940.PDF
Tags
EHD - Public
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Ll <br /> ' Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: C00038940 Site Location: 530 W LODI AVE Account ID: AR0000394 <br /> Received by: EE0000467 CARRUESCO Received Date. 12/4/2014 Print Date. 12/4/2014 1 1:1 1:17AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 12/4/2014 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant ANON Home Phone : 209-329-5065 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> MEAT/FISH DEPARTMENT MANAGER IS EXTENDING THE SALES OF FRESH FISH BEYOND ORIGINAL DATE ON FISH. ALSO DOING THIS TO <br /> THE HAM. BAD ODOR FROM MEAT CASE. <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 O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> --------------- -- --------------------- -- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000395-S-MART#G55 Owner: OW0000369-Save Marl Supermarkets <br /> Site Location RP/DBA <br /> LODI,CA 95241 RP Address 1800 STANIFORD AVE <br /> Cross Street LODI MODESTO,CA 95350 <br /> Mailing Address: 1800 Standiford Ave. Billing Address 1800 Standiford Ave. <br /> MODESTO,CA 95350 Modesto,CA 95350 <br /> Home Phone :209-574-6299 EXT: 1 l 1 <br /> Phone :209-339-7170 EXT: 0 Work Phone :209-577-1600 EXT: <br /> District 004-VOGEL,KEN Location Code <br /> APN 03319037 <br /> Date Abated `'L_1 Cr 1 _\ Inspector ID#: 1^ \-\C" -e <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <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 /> 5104 rpt <br />
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