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CO0040956
Environmental Health - Public
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CO0040956
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Entry Properties
Last modified
9/4/2020 1:38:08 PM
Creation date
2/8/2019 7:19:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0040956
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
1/22/2016 12:00:00 AM
SITE_LOCATION
530 W LODI AVE
RECEIVED_DATE
1/22/2016 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\L\LODI\530\CO0040956.PDF
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EHD - Public
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Complaint Investigation Form , Report#:5104 <br /> COMPLAIN;ID: C00040956 Site Location: 530 W LODI AVE accdunrrt):',AR000assa <br /> Received by: EE0000025 SEDRA Received Date: 1/22/2016 Print Date: 1/22/2016 1:02:57PM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 1/22/2016 <br /> ProoramlElement CodeA600-FOOD PROGRAM <br /> Complainant: :LINDA RILEY Home Phone 209-601-1527 <br /> Address Work Phone _ <br /> Mai!Address <br /> Nature ofcomplaint: <br /> COMPLAINANT WAS AT FACILITY ON 1/22/2016 ATAPPROXIMATELY 11:30 AM AND PURCHASED CRAB. UPON TAKING THE CRAB HOME TO <br /> CLEAN IT,THE COMPLAINANT DISCOVERED THAT THE CRAB WAS SPOILED AND HAD A VERY BAD SMELL.' <br /> Complaint Mode: P Complaint Made Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet i Email S-Sheriffs Office � ,i <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0000395-S-MART 9655 Owner: OW0000369-Save Mart Supermarkets <br /> Site Location 530 W LODI AVE RP/DBA I i, <br /> LODI,CA 95241 RP Address 1800 STANDIFORD AVE <br /> Cross Street CRESCENT MODESTO,CA 95350 1- <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: I11 <br /> Phone :209-339-7170 EXT: 0 Work Phone :209-.577-1600 EXT: <br /> District 004-WtNN,CHARLES Location Code 02-LODI <br /> APN 03319037 <br /> i <br /> Date Abated Zu Inspector ID#: <br /> --------- ---——————— ---- <br /> Send Referral to Referral Letter Sent by ; <br /> Referral Address Date: I <br /> i <br /> Complaint Status Code: <br /> Circle appropriate Status Code j <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 /> 50-LEAD Assessment'Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-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 MN-EHD Monitoring Status <br /> is <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp amt Reviewed by: ate: Updated by: ale: <br /> � 1 <br /> 5104.rp1 <br />
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