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----------- ...«... .....,.........,,�,„„•,,,,•t,a,s„atcaitt•lt�titlt•tt'tt•!1`11�t�4•tt1L'1111!1`/11F'It1!`11'll'!1"111L"J 7P7PI1'T1'71TP1('TP7�(�:TR� <br /> Lll�l'T12P r <br /> COMPLAINT # : C0000840 Pragsram/Elenaent 1600 <br /> 211: CAkCDINE NASCIMBNTO Date, 10j12/93 assigned to 0633 Dlr, ver Tate: 10/12/93 <br />, �ac4lity Name : SMART FOODS '230 Fac ID: 002529 <br /> Location: 4555 PERSHING /V/0S_5_/ (Futo inventoried fACIGiTv: <br /> E -____-- <br /> (Must have FACILITY ID#) <br /> <br /> <br /> <br /> r <br /> FACILITY LOCATION/Property Info — t <br /> DBA or Name : SAVEMART Loc Code 01 r <br /> Address : P.O. BOX 4278 BOS Dist 1 <br /> City: MODESTO APN # <br /> Phone : <br /> I <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address : Work Phone : � <br /> City : _ <br /> C <br /> Nature of Complaint: <br /> WAS BUYING OAT GRANOLA FM LG.BIN/BUGS INSIDE—TLD PROD .MGR,ALSO MGR. OF � <br /> STORE — AFTER 2 DAYS , STORE REMVD BIN — BUGS LOOKED LIKE TERMITES . t <br /> 3 <br /> COMPLAINT Info <br /> CORPLAI,",„ HCDE: I <br /> A-Agency Referral P-ED Of Supervisors/City Ccouncil C-Counter M-Nail/Corre2pondence <br /> 0-Other EH unit P-Phone <br /> COM2'LAINT STATUS; <br /> 01-Meld Abated 02-Office Abated 03-NAi Sent 04-Notice to Abate issued -00-Enforce ACT Initiated � <br /> H-Transfer to Premise File 07-Refer to Other Agency 08-Not ValA 09-Foodborne 111ness <br /> f <br /> ' r <br /> f <br /> Circle appropriate Unit I if complaint. in another PROGRAM jurisdiction, Have Complaint_ Record and P/E updated 4 <br /> forwarded to UNIT: I II III IV for Investigation � <br /> { <br /> r <br /> f <br /> r <br /> COMPLAINT ## CO000840 Date : 10/12/93 <br /> Inspector: DAVE YODER Location: 4555 PERSHING <br />