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Complaint Investigation Form Report#:5104 <br /> rCOMPLAI T ID: C00030402 Site Location: 7939 W 11TH ST Account 10: AR0002789 <br /> Receivedby: EE0090757 BROWNFIELD Received Date, 6/2/2009 Print Date: 6/2/2009 4:30:08PM <br /> Assigned To: EE0001099 YOAKUM Assigned Date: 6/2/2009 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> Nature of com faint: <br /> BAR WAS STICKY AND VERY DIRTY;COCKROACHES CRAWLING ON BAR&COUNTER WERE GLASSES ARE STORED. RESTROOMS <br /> UNSANITARY WITH URINE ON FLOOR,SINKS DIRTY,TOILET HANDLES DIRTY, NO SEAT COVERS, NO SOAP OR PAPER TOWELS, ALSO <br /> POSSIBLY GROWING VEGETABLES ON OUTSIDE OF BUILDING. SEE ATTACHED EMAIL. <br /> Complaint Mode: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> -- - -- ------------------------------------------------ <br /> FACILITY <br /> --------- --------- ------ ------ —.------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003221-.TACKS PLACE Owner: OW0002400-MAH,GUEY JACK <br /> Site Location 7939 W 11TH ST RP/DBA .LACKS PLACE <br /> TRACY,CA 95376 RP Address 31 E GRANT LINE RD <br /> Cross Street I I TRACY,CA 95376 <br /> Mailing Address: 7939 W 11TH ST Billing Address 31 E GRANT LINE RD <br /> TRACY,CA 95376 TRACY,CA 95376 <br /> Nome Phone <br /> Phone :209-832-3392 Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN 25014009 <br /> Date Abated Inspector: <br /> - <br /> - --—— — w- ___D <br /> —,— ------ ----. J. Y':/'J k--- -- ----- =— ----- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:r"/ <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> /4i? EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> I 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD Assessment Perrormed-No Abatement Required <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 52-LEAD Abatement Reqired-See Program Record File <br /> Complaint History <br /> Attached But Not <br /> • Scanned <br /> 510{.rpt <br />