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CO0036583
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ACAMPO
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1600 - Food Program
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CO0036583
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Entry Properties
Last modified
4/3/2019 1:41:11 PM
Creation date
1/30/2019 3:04:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0036583
PE
1600
STREET_NUMBER
4579
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703053
ENTERED_DATE
6/28/2013 12:00:00 AM
SITE_LOCATION
4579 E ACAMPO RD
RECEIVED_DATE
6/27/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\A\ACAMPO\4579\CO0036583.PDF
Tags
EHD - Public
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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00036583 Site Location: 4579 E ACAMPO RD Account ID. <br /> Received by: EE0001084 RAMIREZ Received Date: 6/27/201.3 <br /> Print Date: 6/28/20.13 3a6 07AM <br /> Assigned To: EE0001084 RAMIREZ <br /> Assigned Date: 6/28/2013 <br /> I ; <br /> Pro ram/Element ode:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> <br /> <br /> : <br /> VEHICLE IS OPERATING WITHOUT A PERMIT LICENS #7L97053 ? <br /> }IN'i!HE PARKING LOT OF AM MARKET. i <br /> Complaint Mode: p Complaint Mode Codes -Agency Referral B-Bd of Supervisors t City Council C Counter F-Fax <br /> ; <br /> 'E-Code Enforcement M-Mail/Correspondence O-01her EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office I <br /> ----------------------- - <br /> , __ ___ __ __. <br /> PROPERTY INFORMATION — f PROPERTY OWNER INFORMATION — <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 4579 E ACAMPO RP/DBA <br /> ACAMPO,CA 95220 ! RP Address <br /> Cross Street i <br /> Billing Address <br /> ;I I <br /> • i <br /> Home Phone <br /> Phone ' Work Phone <br /> ! <br /> District 004-VOGEL,KEN Location Code 99-UNINCORPORATED AREA <br /> APN 01703053 <br />} Date Abated 3 Inspector ID#:i,i G-��'{/� V- <br /> If <br /> ----------------------- <br /> Send Referral to i� Referral Letter Sent by <br /> t Referral Address Date: <br /> f <br /> Complaint Status Code: r} 1 <br /> Circle appropriate Status Code !I! <br /> IR <br /> I iy 12-DA Referred Complaint-See Violation Tracking Form <br /> f �fE <br /> - IELD ABATED ;If 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> OFFICE ABATED ii 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT �i 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04. NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DP.__FNFORGEMENTACTION_INITIATE� D�`- 52-LEAD AbatementRegired-See Program Record File <br /> 06 EHD FACILITY-see Linked PROGRAM FACILITY FILE f 97-Disaster Planning and Response ! <br /> 07-REFERRED TO 0THER'AGENCY- 99-UNSPECIFIED-Old Complaint-No Original Found <br /> ,I <br /> F 08-UNABLE TO VERIFY iCL-Case Closed <br /> f } <br />- <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> I i-Multiple Complaints-SEE ACTIVE CASE# i. <br /> 11 <br /> i I! <br /> �I <br /> i' <br /> i 5104,rpt <br />
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