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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048073 Site Location: 3170 N NAGLEE Account ID: AR0033548 <br /> Received by: EE0000014 MORENO Received Date: 12/20/2018 Print Date: 12/20/2018 11:12:48AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 12/20/2018 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> : <br /> SERVING OLD CHICKEN THAT STAYS OUT ALL NIGHT LONG TO CUSTOMERS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I 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 RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0018871-Famous Dave's BBQ RP DBA <br /> Site Location 3170 Naglee Rd RP mailing address <br /> Tracy,CA 95304 <br /> Cross Street ROBERTSON <br /> Mailing address 3170 Naglee Rd RP contact <br /> Tracy,CA 95304 RP contact phone <br /> Phone 562-856-9300 EXT: <br /> Owner: OW0015520-SR Restaurant Holdings <br /> DBA FAMOUS DAVE'S <br /> Owner address 10FARADAY <br /> IRVINE,CA 92619 <br /> Billing Address 3633 Broadway Suite 100 <br /> Long Beach,CA 90803 <br /> Home Phone 949-305-6300 <br /> Work Phone 562-856.9300 EXT: <br /> District 005-ELLIOTT,BOB Location Code <br /> APN NEAR 21205043 <br /> Date Abated `2 21—, Inspector ID#: L,\ n � <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Ob <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewedy: Zd yj 9 ate: pate y: a <br /> 5104.rpt t� <br />