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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045072 Site Location: 678 N WILSON WAY AccountlD: <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 6/24/1991 Print Date: 11/8/2017 2:59:58PM <br /> Assigned To: EE0000753 NG Assigned Date: 11/8/2017 <br /> PmcramrElement CadeJ600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature ofcomplaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"BORDEN BRAND CHEESE WAS BOUGHT ON 9/10/91 AND ON 9/17/91 FOUND SOME GLASS <br /> SLIVERS AS COMPLAINANT WAS EATING IT SHE SPIT IT OUT.TOLD COMPLAINANT TO CALL JOE BEWLEYAT FOOD AND DRUG'ORIGINAL <br /> COMPLAINT#911663 ON 9/18/91.(GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATA 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-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Parry or Property Owner:FOOD 4 LESS <br /> Site Location 678 N WILSON RPiDBA FOOD 4 LESS <br /> STOCKTON,CA 95205 RPAddress <br /> Cmss Street <br /> Billing Address <br /> Home Phone <br /> Phone : Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14129005 <br /> Date Abated vlInspector ID A, N67 <br /> Send Referral to Referral Letter Sent by <br /> Relerral Address Date: <br /> Complaint Status Code: D1/ <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Contacted 50-LEAD Assessment Perfonned-No Abatement Required <br /> b2 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 St-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 /> omplamt Reviewedby. Date ry pared by: Date: . <br /> 5104.rpt 4 <br />