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i <br /> Complaint Investigation Form Report M 5104 <br /> COMPLAINT ID: C00018735 Site Location: 678 N WILSON WAY Account ID, AR0004645 <br /> Received by: EE0002282 RABACA Received Date: 3/17/2003 <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 3/17/2003 <br /> Program/Element Code: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP ./ <br /> Complainant: <br /> <br /> i <br /> Nature of complaint: <br /> I <br /> ON 3115 @ MIDNIGHT,(C)SAW AT LEAST A DOZEND BLOWFLIES ON MEAT PACKAGES IN SALES AREA. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-M ai[/Correspondence O-Other EH Unit C-Counter P-Phone I <br /> I <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002463-FOOD 4 LESS Owner: OW0001562-PAQ INC i <br /> RP/DBA: GAS 4 LESS 1 <br /> Site Location: 678 N WILSON WAY RPAddress: 33411WILLOWBROOK CR <br /> STOCKTON,CA 95205 STOCKTON,CA 95219 <br /> Mailing Address: 8014 LOWER SACRAMENTO RD#1 Billing Address:: 8014 LOWER SACRAMENTO RD#1 <br /> STOCKTON,CA 95210 <br /> STOCKTON, CA 95210 <br /> Phone:1 st: 209-957-4917 EXT: 0 Phone: i <br /> Wk: 209-957-2555 EXT: 0 <br /> District Location Code 01 -STOCKTON <br /> APN <br /> f 7 I <br /> Date Abated <br /> Inspector-3 0 <br /> Send Referral to: ; <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 2 ffice Abated 15-Active Housing Case-New Complaint See Active Case If <br /> 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 Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) { <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4)(3) Complaint H15tOI"y <br /> 08-Invalid!Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) Attached But Not <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) Scanned <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 WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> - f <br /> 5104.rpt <br />