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Complaint Investigation Form Report#:5104 <br /> F Account ID: AR0004645 <br /> COMPLA! T ID: C00028987 Site Location: 678 N WILSON WAY <br /> Received Date: 91512008 Print Date: 915!2008 4A4:57PM <br /> Received by: EE0007380 SHIN <br /> Assigned To: EE0001420 MENDE Assigned Date: 91512008 <br /> pro ram/Element Code:1600-FOOD PROGRAM <br /> <br /> <br /> Address <br /> Nature of complaint: <br /> (C)NOTICETHAT TRASH,WASTE,D MOLDYRO PRODUCE ANDITHE STORE 15 NOT CLEAN.--(C) PURCHASED A TOMATO WITH A WORM IN 1T. <br /> C)REQU STS A CALL BACK. <br /> Complaint Mode: C Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit — P-Phone <br /> — —— <br /> FACILITY INFORMATION —— — — F' OWNER INFORMATION <br /> Facility:FA0002463-FOOD 4 LESS* Owner: OW0001562-PAQ INC <br /> Site Location 678 N WILSON WAY RP/DSA : <br /> . STOCKTON,CA 95205 RP Address 8014 LOWER SACRAMENTO RD STE I <br /> Cross Street STOCKTON,CA 95210 <br /> Mailing Address: 17935 MURPHY PARKWAY Billing Address 17935 MURPHY PARKWAY <br /> LATHROP,CA 95330 LATHROP,CA 95330 <br /> Nome Phone :209-957-4917 <br /> Phone :209-957-4917 Work Phone :209-858-0101 <br /> District 001 -GUTIERRE4 STEVE v Location Code 01 -STOCKTON <br />! APN 14129006 <br /> Date Abated q — �(—y Inspector: 14a" <br /> II ___ ___ __ _ -- <br /> ---- --- ---- -- -- <br /> Send Referral to J Referral Letter Sent by <br /> Referral AddresDate: <br /> s <br /> Complaint Status Code: <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 /> 0 EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19. ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed I No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE ii 31-15 Day Letter Sent-Alleged Complaint Complaint History <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scmzned <br /> I <br /> 51rpt <br />