Laserfiche WebLink
✓+v <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052218 Site Location: 340 W GRANT LINE RD Account ID: AR0006573 <br /> Received by: EE0000014 MORENO Received Date: 7/6/2020 Print Date: 7/6/2020 2:50:16PM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 7/6/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> NO SOCIAL DISTANCING, NOT WEARING MASK, NOT FOLLOWING COVID-19 GUIDELINES. <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 /> Facility:FA0005789-JUANITA MARKET 04 RP DBA <br /> Site Location 340 W GRANT LINE RD RP mailing address <br /> TRACY,CA 95376 <br /> Cross Street BESSIE <br /> Mailing address 340 W GRANT LINE RD RP contact <br /> TRACY,CA 95376 RP contact phone <br /> Phone 209-833-0407 <br /> Owner: OW0004600-VALMED INC <br /> DBA JUANITA MARKET#4 <br /> Owner address 2800 SHINN CT <br /> WOODLAND,CA 95776 <br /> Billing Address 2800 SHINN CT <br /> WOODLAND,CA 95776 <br /> Home Phone 707-580-6442 <br /> Work Phone 209-833-9050 <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN 23303027 <br /> Date Abated — 2Q Inspector ID#: <br /> ---------------------------------------------- - -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O !� <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 /> ompaint Reviewed by:f <br /> „ J ate: Updated y: <br /> 5104.rpt � <br />