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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00021747 Site Location: 25775 S PATTERSON PASS RD Account ID: AR0002663 <br /> Receivedby: EE0009157 BARCELLOS Received Date: 11/8/2004 Print Date: 11/8/2004 3:40:49PM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 11/8/2004 <br /> Program/Efement CodeA600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Rome Phone <br /> Address Work Phone <br /> Nature ofcomplaint. <br /> FACILITY IS FILTHY, RESTROOM'S ARE DIRTY AND MAGGOTS CRAWLING AROUND TRASH. <br /> Complaint Mode: P Complaint Mode Codes IA-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> ------------------1 ------------- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003100-ARP MINIMART CORP Owner: OW0002312-PATEL,GIRA I <br /> Site Location 25775 S PATTERSON PASS RD RPIDBA ARP MINIMART CORP <br /> TRACY,CA 95376 RP Address 310 ANTHONY AVE <br /> MOUNTAIN HOUSE,CA 95391 <br /> Marling Address: 25775 S PATTERSON PASS RD Billing Address 310 ANTHONY AVE <br /> TRACY,CA 95376 MOUNTAIN HOUSE,CA 95391 <br /> Nome Phone ;209-830-6211 <br /> Phone :209-835-7777 Work Phone :209-835-7777 <br /> District 005-ORNELLAS,LEROY Location Code 99-UNINCORPORATED AREA <br /> APN 20910004 <br /> r <br /> — Date Abated �� L; Inspector: .1 J f(�66?t2 <br /> ------ j----------- ------ --———————————— <br /> ———— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Cod.0 <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 /> '0 -EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 7-REFERRED TO OTHER AGENCY 28-FOODBORNE ILLNESS-Unconfirmed <br /> 08-UNABLE TO VERIFY 29-FOODBORNE ILLNESS-Confirmed Complaint H1StOrY <br /> 09-FOODBORNE ILLNESS 50-LEAD HAZ EVALUATION REQUIRED(1) Attached But Not <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) Scanned <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 54-LEAD HAZ DUST EVALUATION SATISFACTORY(5) <br /> 5104.rpt <br />