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1 <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00020176 Site Location: 4555 N PERSHING AVE 16 Account ID: AR0004707 r <br /> Received by: EE0003600 CAMPBELL Received Date: 1/2/2004 Print Date: 1/2/2004 4:01:24PM <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 1/2/2004 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant ;ANON Nome Phone <br /> Address Work Phone <br /> Nature of com Taint: <br /> SELLING FOOD OUTSIDE FRONT OF STORE.THERE IS NO FRIDGE AND NO HANDWASHING SINK.(C)STATES SHE HAS SEEN EMPLOYEES <br /> HANDLE MONEY AND THEN HANDLE FOOD WITHOUT WASHING THEIR HANDS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> L I E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> --------------- <br /> ----- ---- -------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002514-ASIAN SUPERMARKET Owner: OW0001919-UNG,ALICIA <br /> Site Location 4555 N PFRS14ING AVE 16 RP/DEIA ASIAN SUPERMARKET <br /> STOCKTON,CA 95207 RP Address 8667 MARINERS DR#67 I <br /> STOCKTON,CA 95219 j <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 f <br /> Date Abated � /� ]! SC� Inspector., C I <br /> ———— -- --- ----------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: I <br /> Complaint Status Code: OJT ; <br /> a <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#i <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 /> 06- 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 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 5104.rp1 <br />