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46 Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: CO648184 Site Location: 25456 S. SCHULTE RD Account ID: AR0037529 <br /> Received by: EE0009830 SAUERS Received Date: 1/2/2019 Print Date: 1/2/2019 1:28:51PM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 1/2/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES FACILITY IS SERVING OLD RICE,AT LEAST A DAY OLD,AND IT SMELLS BAD. COMPLAINANT ALLEGES HE IS l <br /> FEELING NAUSEOUS AND BELIEVES IT IS FROM THE RICE. l <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-Intemet,/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0020888-JALOS TAQUERIA RP DBA <br /> Site Location 25456 S SCHULTE RD STE#2 RP mailing address <br /> TRACY,CA 95377 <br /> Cross Street MOUNTAIN HOUSE <br /> Mailing address 25456 S SCHULTE RD STE#2 RP contact <br /> TRACY,CA 95377 RP contact phone <br /> Phone 209-830-8066 <br /> Owner: OW0017179-REYNOSO,HUGO ALBERTO <br /> DBA <br /> Owner address 196 CARNATION CIR <br /> VALLEJO,CA 94589 <br /> Billing Address 196 CARNATION CIR <br /> VALLEJO,CA 94589 <br /> Home Phone 707-333-2175 <br /> Work Phone 209-830-8066 <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 20944035 <br /> Date Abated I— q —19 Inspector ID#: <br /> O� <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:Li01 <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 /> omp aint Reviewed by. - i ate: pate y: ate: 0 —D _I <br /> 5104.rpt ll <br />