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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043449 Site Location: 1110 N MAIN ST Amount ID.* AR0000762 <br /> Receivedby: EE0000467 CARRUESCO Received Date: 5/10/2017 Print Date: 5/102017 4:51:28PM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 5/10/2017 <br /> Program/Element Code.1600-FOOD PROGRAM <br /> Complainant: :BERNICE NAVA Home Phone : 425345-3988 <br /> Address Work Phone <br /> -Mail Addrpss <br /> Nature of complaint: <br /> 5/10/2017 ATAPPROXIMATELY 1:40 PM,COMPLAINANT OBSERVED MALE COOK DROP A TORTILLA THEN PICK IT UP AND PLACE ON THE <br /> GRIDDLE.SAME COOK ALSO TOOK OFF HAT AND SCRATCHED HEAD THEN WITHOUT WASHING HANDS PROCEEDED TO PREPARE A <br /> BURRITO WITHOUT GLOVES. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Shenfrs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0000794-TAQUERIA LA ESTRELLA Owner. OW0017389-FONSECA,JUAN F <br /> Site Location 1110 N MAIN ST RP/DBA <br /> MANTECA,CA 95336 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 003-BESTOLARIDES,STEVE Location Code <br /> APN 21821023 <br /> Date Abated 3 1 V— Inspector ID <br /> -----------------——------———————— —————————— —— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O6 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 26-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 /> PO-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 Form <br /> ompaint Reviwed by: 91 4 ate: Updated b Date: - a <br /> 171 <br /> 5104.rpt <br />