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,.,.. Complaint Investigation Form Report M 5104 <br /> COMPLAINT ID: C00032089 Site Location: 25520 E HWY 4 Account ID: AR0000066 <br /> Received by. EE0004636 BACKUS Received Date: 5/22/2010 Print Date: 5/24/2010 10:30:40AM <br /> Assigned To: EE0001420 MENDE Assigned Date: 5/24/2010 JJJ <br /> Pro ram/Element Code:1600-FOOD PROGRAM <br /> Complainant. ; <br /> <br /> <br /> Nature of complaint. <br /> FICISTATED STORE IS BARBECUING IN FRONT OF STORE. "'(C)WOULD LIKE TO KNOW IF STORE HAS AN EHD PERMIT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-ed of Supervisors f 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 Ofce <br /> --.. ---- - --- --------------------.----- i <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0000067-FARMINGTON GENERAL STORE Owner: OW0000056-KAUR,KARMALJIT <br /> Site Location 25520 E HWY 4 <br /> RP/DBA FARMINGTON GENERAL STORE <br /> FARMINGTON,CA 95230 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 004-VOGEL,KEN Location Code 99-UNINCORPORATED AREA <br /> APN 18722001 <br /> f i <br /> Date Abated �*— 9'4C/ 1 Inspector: <br /> — ------ — T - ---- ---?":aa <br /> -- ------ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint tiistory <br /> Attached But Not <br /> Complaint Status Code; Scanned <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 114 <br /> 08-UNABLE TO VERIFY <br /> OSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 Multiple Complaints-SEE ACTIVE CASE# <br /> 2-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 514 rpt <br />