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C v'" <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052369 Site Location: 1405 CALIFORNIA ST Account ID: AR0000305 <br /> Received by: EE0009830 SAUERS Received Date: 7/30/2020 Print Date: 7/30/2020 11:33:56AM <br /> Assigned To: EE0078788 FAHMY Assigned Date: 7/30/2020 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> F <br /> OMPLAINANT ALLEGES THIS FACILITY IS SELLING SNAPPLES THAT EXPIRED IN 2019.COMPLAINANT STATES THE JUICE'TASTES <br /> WFUL" <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 <br /> ------------------------------------------------ - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0000306-EMILS LIQUOR&SPORTS SHOP* RP DBA <br /> Site Location 1405 CALIFORNIA ST RP mailing address <br /> ESCALON,CA 95320 <br /> Cross Street CALIFORNIA <br /> Mailing address 1405 CALIFORNIA ST RP contact <br /> ESCALON,CA 95320 RP contact phone <br /> Phone 209-838-7674 EXT: <br /> Owner: OW0000248-CHACKO THOMAS <br /> DBA T&T INVESTMENT GROUP INC <br /> Owner address 1409 MICHELE WAY <br /> ESCALON,CA 95320 <br /> Billing Address 1405 CALIFORNIA ST <br /> ESCALON,CA 95320 <br /> Home Phone 209-499-2693 <br /> Work Phone 209-499-2693 EXT: <br /> District 004-W INN,CHARLES Location Code 06-ESCALON <br /> APN 22707031 <br /> Date Abated 104 jD Inspector ID#: 9AL��J= <br /> Send Referral to vv Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: if"1 <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02' ffice 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 /> omp aint Rewewe y: 7,_ ate: p ate a <br /> 5104.rp1 <br />