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b { <br /> ♦` Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050776 Site Location: 1005 PESCADERO AVE STE 123 Account ID: AR0012174 <br /> Received by: EE0004589 LINHARES Received Date: 10/18/2019 Print Date: 10/18/2019 8:43:48AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 10/18/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> COMPLAINANT OBSERVED A MOUSE AT THE FACILITY ON 10-17-19. <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 /> [-Internet/Email S-Sheriffs Office <br /> -- --------------------------------------- --------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0007567-EL PATIO ORIGINAL RP DBA <br /> Site Location 1005 PESCADERO AVE STE 123 RP mailing address <br /> TRACY,CA 95376 <br /> Cross Street MACARTHUR <br /> Mailing address 1005 PESCADERO AVE STE 123 RP contact <br /> TRACY,CA 95376 RP contact phone <br /> Phone 209-207-9783 <br /> Owner: OW0021388-GODINEZ,GILBERTO <br /> DBA EL PATIO <br /> Owner address 303 SPRINGSTONE DR <br /> FREMONT,CA 94536 <br /> Billing Address 303 SPRINGSTONE DR <br /> FREMONT,CA 94536 <br /> Home Phone 510-509-0471 <br /> Work Phone 209-207-9783 <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN 21306040 <br /> Date Abated x_2 2 1 1 Inspector ID#: <br /> ----------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: G � <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 Reqired-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 /> omplaint Reviewed by: ` ( ate: p ate y: I Date_i7 <br /> � r <br /> 5104.rpt <br />