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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00049013 Site Location: 620 CENTRAL AVE Account ID: <br /> Received by: EE0004589 LINHARES Received Date: 2/26/2019 Print Date: 2/26/2019 4:43:04111\1 <br /> Assigned To: EE0004589 LINHARES Assigned Date: 2/26/2019 <br /> <br /> t: ANONYMOUS Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> F=ACILITY IS PREPARING TEA FOR CUSTOMER SALE. DOES NOT HAVE A HEALTH PERMIT. SCOOPS ICE FROM ICE CHEST,STORES FOOD <br /> IN RESTROOM. <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-Internet/Email S-Sheriffs Office <br /> ----- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 620 CENTRAL AVE RP mailing address <br /> TRACY,CA 95376 <br /> Cross Street SEVENTH <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owner address <br /> Billing Address <br /> Horne Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN NEAR 23506909 <br /> Date Abated -- 1 1 Inspector ID#: f S <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01 -Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02 Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Regired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15 ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed y: - n "ate: <br /> 5104.1 pc <br />