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Complaint Investigation Form • Repork-#:5104 <br /> COMPLAINT ID: C00016094 Site Location: 678 N WILSON WAY 37 Account 10: AR0004676 <br /> Received by: EE0006519 DISA Received Date: 6/13/2001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 6/13/01 <br /> Pmnram/Element Code: 1618-RETAIL MKT>2000 SO FT(PREPKGD ONLY) <br /> Complainant: <br /> <br /> Nature of complaint: <br /> FLOORS ARE DIRTY IN STORE.FOOD IS LEFT ON FLOOR.PILES OF MERCHANDISE IN WALKWAYS. <br /> Complaint Mode P Cohiplaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002472-DOLLAR TREE#1240 Owner: OW0006662-DOLLAR TREE STORES INC. <br /> RP/DBA: DOLLAR TREE STORES INC. <br /> .J ' <br /> Sile Location: 678 N WILSON WAY 37 <br /> RP Address: PO BOX 2500 <br /> STOCKTON,CA 95204 <br /> NORFOLK,VA 23501-2500 <br /> Mailing Address: PO BOX 2500 <br /> NORFOLK,VA 23501-2500 Billing Address:: PO BOX 2500 <br /> NORFOLK,VA 23501-2500 <br /> Phone: Phone: Him: 757-321-5000 <br /> Wk: Number Not Specified <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Dale Abated <br /> Inspector completed <br /> Send Referral to: <br /> Relerral Atltlress: C3 <br /> con <br /> Re/emal Lelfer Sent by. 3 , <br /> Date: <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 /> 05-Enforcement Action Initiated 50-Lead Huard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) (1314LO C � <br /> ,,^Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> (0'8 Invalid/Unable To Verify 51-Lead Hazard Work Plan Submitted(2) <br /> \g <br /> Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13.Enforcement Case_Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case•See Active File For This Site <br /> gftERED 'V y3 <br /> a,o4.mt <br />