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Complaint Investigation Form Report#:5104 <br /> MMPLAINT ID: C00044146 Site Location: 678 N WILSON WAY Account ID <br /> Received by: EE0000035 HERNANDEZ Received Date: 1/14/1993 Print Date: 9/7/2017 8:33:12AM <br /> Assigned To. EE0000753 NG Assigned Date: 9/1/2017 <br /> Prooram/Element Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINT FOUND AND ALLEGES"BOUGHT 1 GALLON MILK ON 1/13/93,EXPIRATION STAMP 1/16193.THREE PEOPLE DRANK AT DINNER <br /> TIME AND DID NOT REALIZE IT HAD CHUNKS AT THE BOTTOM.ALL ILL WITH DIARRHEA AND VOMITING WITH SEVERE NAUSEA.WILL BE <br /> GOING TO ST.JOSEPHS FOR IMMEDIATE CARE."ORIGINAL COMPLAINT#930048 ON 1/14/93.(GIVEN ENVISION COMPLAINT NUMBER TO <br /> HAVE IN DATABASE 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 0-Other EH Unit P-Phone <br /> ]-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:FOOD 4 LESS Responsible Party or Property Owner:FOOD 4 LESS <br /> Site Location 678 N WILSON RP/DBA FOOD 4 LESS <br /> STOCKTON,CA 95205 RPAddress <br /> Cross Street FREMONT <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01 -STOCKTON <br /> APN 14129024 <br /> Date Abated - ILA- III) Inspector/D#: .I <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> Circle appropriate Status Code <br /> 01 Field Response-violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-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 S1-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 /> ompam[Reviewed by: vlIJ Date:a t pateDat"11 111 11 <br /> 51N.rpt <br />