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Complaint Investigation Form Report#: 5104 <br />rr)MPl HINT Irl• Cr)nnAA3Rd Sita I nnatinn• rr,7A W (-,RANT I INF RID <br />Received by: EE0000025 SEDRA <br />Assigned To: EE0000753 NG <br />Program/Element Code: 1600 - FOOD PROGRAM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />ire of complaint: <br />FHIS COMPLAINT WAS FOUND IN FILE CABINET AND ALLEGES "FISH BAIT AND WORMS ARE IN THE SAME COOLER WITH DAIRY AND <br />3EVERAGES. SMELLS REALLY BAD. FLOORS ARE CLUTTERED AND DIRTY." ORIGINAL COMPLAINT NUMBER 91-2121 DATED 11/21/1991 <br />GIVING IT AN ENVISION COMPLAINT NUMBER TO 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 O -Other EH Unit P -Phone <br />I -Internet / Email S -Sheriffs Office <br />PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br />Property Name: SCOTTIES BAIT AND TACKLE <br />Site Location 574 W GRANT LINE <br />TRACY, CA 95376 <br />Cross Street TRACY <br />Phone <br />District 005 - ELLIOTT, BOB <br />APN 23303001 <br />Responsible Party or Property Owner <br />RP/DBA <br />RP Address <br />Billing Address <br />Home Phone <br />Work Phone <br />Location Code 03 - TRACY <br />Date Abated C� _—� ._ `� Inspector ID #: <br />— — — — — — — — — — — — — — — — — — — — — — — — — —d— — — — — — — — — — — — <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Coder <br />Circle appropriate Status Code <br />01 - Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />- UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 -Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />omp aint Reviewedy: - ti Dat pate y: t ;, ate f <br />5104.rpt <br />