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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00039111 Site Location: 209 FOOD SPOT Account 1D: <br /> Received by: EE0009058 LOWE Received Date: 1/16/2015 Print Date: 1/16/2015 4:23:35PM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 1/16/2015 <br /> Proaram/Element Code 1600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> SOFIA DELAROSA SELLING FOOD ON FACEBOOK ADVERTISING CATERING BUSINESS. SEE ATTACHED E-MAIL AND ADDRESS VIA E-MAIL <br /> FROM FROM(C). <br /> Complaint Mode: I 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 PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:SOFIA DELAROSA <br /> Site Location 209 FOOD SPOT RP/DBA : <br /> RP Address 746 CHESTNUT AVE <br /> Cross Street TRACY,CA 95376 <br /> Billing Address 746 CHESTNUT AVE <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated / /(� Inspector ID#: t , <br /> Send Referral to N Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />