Laserfiche WebLink
Complaint Investigation Form Report*5104 <br /> COMPLAINT ID:e C00044169 Site Location: 620 N. CENTRAL AVE Account ID: <br /> Receivedby: EE0000467 CARRUESCO Received Date: 9/5/2017 Print Date: 9/5/2017 11:34:OOAM <br /> Assigned To: EE0001420 NISSIM Assigned Date: 9/5/2017 <br /> ProoramrElement Code 1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> TEA ROOM MAY BE OPERATING WITHOUT HEALTH PERMIT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement WMail/Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet/Email S-Sheriffs Office <br /> - ----------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:Trina's Tea Kettle&Boutique Responsible Party or Property Owner <br /> Site Location 620 N CENTRAL RPIDBA Trina's Tea Kettle&Boutique <br /> TRACY,CA 95376 RPAddmss <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN NEAR 23506909 <br /> Date Abated G—lb— \—I Inspector ID#: �\\,N 0,1 e.S <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: t'11 <br /> Circle appropriate Status Code L <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 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-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 It 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 /> omp aint Reviewed by: � /,y l�1 ate: Update y aI <br /> l I <br /> 5104.rpt <br />