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"�. Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00026855 Site Location; 25775 S PATTERSON PASS RD Account ID: AR0002663 <br /> Received by: EE0008317 VON FLUE Received Date: 8/18/2007 Print Date: 8/20/2007 9:55:51AM <br /> Assigned To: EE0001699 YOAKUM Assigned Date: 8/20/2007 SCANNED <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: :GEORGE VAUGHN Home Phone <br /> Address Work Phone <br /> Nature of complaint. <br /> RESTROOM IS NOT BEING MAINTAINED PROPERLY. <br /> Complaint Mode: PL—Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003100-ARP MINIMART CORP Owner: OW0002312-PATEL,GIRA I <br /> Site Location 25775 S PATTERSON PASS RD RP/DBA ARCO#06100 <br /> TRACY,CA 95376 RP Address 310 ANTHONY AVE <br /> MOUNTAIN HOUSE,CA 95391 <br /> Mailing Address: 25775 S PATTERSON PASS RD Billing Address 25775 S PATTERSON PASS RD <br /> TRACY,CA 95376 TRACY,CA 95376 <br /> Nome Phone <br /> Phone :209-835-7777 Work Phone <br /> District 005-ORNELLAS,L.EROY Location Code 99-UNINCORPORATED AREA <br /> APN 20910004 <br /> Date Abated 2-C3 Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date., <br /> Complaint Status Code: <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 /> LJ EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed 1 No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Complaint History <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> Attached But Not <br /> Scanned <br /> 5104.rpt <br />