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CO0045513
EnvironmentalHealth
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1600 - Food Program
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CO0045513
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Entry Properties
Last modified
5/1/2019 11:42:43 AM
Creation date
1/30/2019 3:04:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0045513
PE
1600
FACILITY_ID
FA0016563
STREET_NUMBER
4579
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703053
ENTERED_DATE
1/22/2018 12:00:00 AM
SITE_LOCATION
4579 E ACAMPO RD
RECEIVED_DATE
2/4/1991 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\A\ACAMPO\4579\CO0045513.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045513 Site Location: 4579 EACAMPO RD Account lD. AR0029211 <br /> Receivedby: EE0000040 JIMENEZ Received Date: 2/4/1991 Print Date: 122/2018 5:0109PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/22/2018 <br /> ProaramrElement Code:1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> MICE TURDS IN ALL AREAS OF MARKET.MICE HAVE GOTTEN INTO THE FOOD ALSO. <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/Conespondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Once <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0016563-AM MARKET Owner: OW0013421-MOZEB,ALI <br /> Site Location 4579 E ACAMPO RD RP/DBA A M MARKET <br /> ACAMPO,CA 95220 RPAddress <br /> <br /> <br /> <br /> <br /> Phone :209-368-7534 Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 01703053 <br /> Date Abated - I Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: Gkl: ` <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE Disaster Planning and Response <br /> 07-ReRerred to OtherAgency 99- NSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> amp amt Reviewed by: Dale.,' Updated by. Date L <br /> /q <br /> z0 I 0 <br /> 5104.rpt <br />
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