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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016232 Site Location: 1189 E MARCH LN Account to.* AR0001225 <br /> R—ivedby: EE0000794 MATHEW Recelvad Date: 7/12/2001 <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 7/16/01 <br /> Pmoram/Element Code- 1619-RETAIL MKT>1000 SQ FT(MULTIPLE DEPTS) <br /> <br /> <br /> Nature of complaint: <br /> ATE GERBER CHICKEN MEAT STICKS(PRE PACKAGED)AROUND 07-03-01. PURCHASED FROM FOOD MAX. BECAME ILL ON 07-04-01 <br /> AND DIAGNOSED ON 07-10-01 WITH SALMONELLA GROUP G. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001227-FOOD MAXX#408 Owner: OW0002227-SAVE MART SUPERMARKETS <br /> RP/DBA: <br /> Site Location: 1189E MARCH LN RP Address: PO BOX 4278 <br /> STOCKTON.CA 95212 <br /> MODESTO,CA 95352 <br /> Mailing Address: PO BOX 4278 <br /> MODESTO,CA 95352-4278 Rifling Address:: PO BOX <br /> MODESTO,O,CA 95352 <br /> Phone:1st: 209-472-2041 <br /> Phone: <br /> Wk: 209-577-1600 <br /> District 002-MARENCO,DARIO Location Code 01 -STOCKTON <br /> APN <br /> Date Abated -71`4161 <br /> 6 <br /> Inspector C-12) <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 /> 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-two Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> Invalid/Unable To Verify 51-Lead Hazard Work Plan Submitted(2) <br /> 09 Foodbome 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 /> 61N.rpl <br />