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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00015154 Site Location: 1189 E MARCH LN Account AR00 1225 <br /> Receivedby: EE0006519 DISA Received Date: 11/8/2000 <br /> <br /> Procram/Element Code: 1619-RETAIL MKT>1000 SQ FT(MULTIPLE DEPTS) <br /> <br /> ( <br /> Nature of complaint: <br /> BOUGHT 6 POUNDS OF SHRIMP 6 PEOPLE ATE IT 3 BECAME ILL.STOMACH ACHE, DIARREHA,LIGHT HEADED. <br /> <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council If Code Efiforcement <br /> M-Mail/Correspondence O-Other EH Unit C•Counter P-Phone & ;; <br /> �• <br /> <br /> FA0001227-FOOD MAXX Owner: OW0002227-SAVE MART SUPERMARKETS <br /> RP/DBA: <br /> Site Location: 1189 E MARCH LN <br /> STOCKTON,CA 95212 RP Address: PO BOX <br /> MODESTO,O,CA 95352 <br /> Mailing Address: PO BOX 4278 <br /> MODESTO,CA 95352-4278 Billing Address:: PO BOX <br /> MODESTO,O,CA 95352 <br /> Phone: 1st: 209-472-2041 Phone: <br /> Wk: 209-577-1600 <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN <br /> Date Abated tr Vol Inspector -*J <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: 09 <br /> 01 -Field Abated 10-Substandard Property-See HOUS ING 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 Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> IN Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory (4) <br /> Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> - oodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> -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 /> 0104 rpt <br />