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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: CO4UKF2P9 Site Location: 340 Grant Line Accouni : <br /> Received by Received Date: 2/3/2017 Print Date: 2/3/2017 2:42:48PM <br /> Assigned To: EE0001420 NISSIM Assigned Date: 2/3/2017 <br /> Pooram/Element Code:1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> Operating without a permit and selling unpackaged food. <br /> Complaint Mode: Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Faz <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sherifrs Office <br /> ——— ——__ _—_———_-- -------------------------- <br /> PROPERTY <br /> -------_ —____—_—_— — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location RP/DBA <br /> RP Address 1 <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated 2 3 I �. Inspector ID <br /> -- ----------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Referred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Forth <br /> ompaint Reviewed by. ate: Updated by'. a[e' <br /> a o � <br /> 5104 It <br />