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Complaint Investigationform Report#:5104 <br /> COMPLAINT ID: C00031480 Site Location; 1100 S MAIN STREET m Account ID: <br /> Received by. EE0001084 RAMIREZ Received Date: 11211201.0 Print Date: 1/25/2010 9:01:44AM <br /> Assigned To: EE0001084 RAMIREZ Assigned Date: 1/25/2010 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :STEPHANIE RAMIREZ Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> FACILITY OPERATING WITHOUT A PERMIT, FACILITY SELLS CANDY AND CHIPS. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 1100 S MAIN RP/DBA <br /> MANTECA,CA 95337 RPAddress : <br /> Cross Streel INDUSTRIAL PARR <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ORNELLAS,LEROY Location Code 04-MANTECA <br /> APN 221190612 r f <br /> Date Abated 1 lT I Q I '� Inspector. 1 Qr <br /> Send Referral to Y +Referral LI etter Sent by <br /> Referral Address Date: <br /> i <br /> Complaint Status Code:K' S <br /> Circle appropriate Status Code l <br /> 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 /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-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 /> 5104 rpt <br />