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bur 1� Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043662 Site Location: 1110 N MAIN ST Account ID., AR0000792 <br /> Receivedby: EE0000467 CARRUESCO Received Date: 6/19/2017 Pnnt Date: 6/19/2017 3:11:51PM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 6/19/2017 <br /> Emoram/Element Code.,1600-FOOD PROGRAM <br /> Complainant: : KATHERINE Home Phone : 209-604-4790 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> BAD ODOR IN THE RESTROOMS.CANDLES BURNING IN RESTROOMS IS HAZARDOUS. <br /> Complaint Mode: P Complaint Motle 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-Intemel/Email S-Shentrs Once <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0000794-TAQUERIA LA ESTRELLA Owner: OW0017389-FONSECA,JUAN F <br /> Site Location 1110 N MAIN ST RPIDBA <br /> MANTECA,CA 95336 RP Address <br /> <br /> <br /> <br /> <br /> <br /> District 003-BESTOLARIDES,STEVE Location Code 04-MANTECA <br /> APN 21821023 <br /> Date Abated b--2 b--k-1 Inspector ID A <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Relemal Address Date: <br /> Complaint Status Code: Q, <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT we 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 Pedonned-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-ReRerred 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 Form <br /> omplaint Reviewed by: ` .a Date: Updated by: Date:(J <br /> 5104.mt <br />