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>I <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00020032 Site Location: 4555 N PERSHING AVE 16 Account 1D: AR0004707 <br /> Received by: EE0000321 OLIVEIRA Received Date: 11/25/2003 Print Date:{1/26/2003 10:12:59AM <br /> Assigned To: EE0000321 OLIVEIRA' Assigned Date: 11/25/2003 <br /> Program/Element Code 1619-RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <br /> Complainant: : USDA Nome Phone <br /> Address Work Phone <br /> Nature of complaint.- j <br /> UNLABELED AND UNWRAPPED SAUSAGE, NO ICE ON OYSTERS, UN REFRIGERATED RE WRAPPED SAUSAGES, DIRTY FLOOR IN MEAT <br /> COOLER, UN REFRIGERATED BANANA LEAF WRAPS, FISH IN PACKAGES NEXT TO FRESH VEGETABLES. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement fvl-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002514-ASIAN SUPERMARKET Owner: OW0001919-UNG,ALICIA <br /> Site Location 4555 N PERSHING AVE 16 RPIDBA ASIAN SUPERMARKET <br /> STOCKTON,CA 95207 RP Address 8667 MARINERS DR#67 <br /> STOCKTON,CA 95219 <br /> Mailing Address: 4555 N PERSHING#16 Billing Address 8667 MARINERS DR#67 <br /> STOCKTON,CA 95207 STOCKTON,CA 95219 <br /> Home Phone :209-952-3508 <br /> Phone ':209-957-3097 Work Phone :209-957-3097 <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN 11017001 <br /> Date Abated f 2--/ l Inspector 6�-D 63 7 1 <br /> f } <br /> T <br /> Send Referral to Referral Letter Sent by <br /> s <br /> Referral Address Date: <br /> f <br /> i <br /> i <br /> Complaint Status Code: O <br /> Circle appropriate Status Code <br /> 01 •FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER 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 LETTER SENT <br /> ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> Ofi HD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE /p54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> COUP <br /> C,®py � , <br /> r <br /> 6104.rpt <br />