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I % Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: C00044258 Site Location: 4555 N PERSHING AVE AccountlD. <br /> Received by: EE0000036 HERNANDEZ Received Date: 5/17/1993 Print Date: 9/12/2017 9:39:15AM <br /> Assigned To: EE0000753 NG Assigned Date: 9/12/2017 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :GUNILLAMAYER Home Phone : 209-476-9819 <br /> Address Work Phone <br /> -Mall Address <br /> Nature ofcomplaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"BOUGHT IMITATION CRAB MEAT ON 5/16/93,TOOK IT HOME AND PUT IT IN REFRIGERATOR. <br /> WHEN COMPLAINANT OPENED THE REFRIGERATOR THE PACKAGE HAD AGREEN GLOWING COLOR AND COMPLAINANT DOES NOT HAVE <br /> A LIGHT IN HER REFRIGERATOR"ORIGINAL COMPLAINT#930773 ON 5/17/93.(GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATA <br /> BASE FOR FUTURE REFERENCE) <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-Sherifrs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SMART FOODS <br /> Site Location 4555 N PERSHING RPZBA SMART FOODS <br /> STOCKTON,CA 95207 RPAddress <br /> Cress Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01 -STOCKTON <br /> APN 11017001 <br /> Date Abated b 1 Inspector ID#: N6 <br /> Send Referral to v Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 61 <br /> Circle appropriate Status Code <br /> bl Field Response-Molaticns Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 2-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form Sl-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> FY 1111 <br /> omp amt Reviewed by: ate:/3 t1,tit pate y: t <br /> 5104 rpt R 1 <br />