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4 Complaint Investigation Form Report#i 5104 <br /> COMPLAINT ID: C00038526 Site Location: 209 FOODSPOT (GROUP ON FACEB Account ID. <br /> Received by. EE0000467 CARRUESCO Received Date: 9/12/2014 Print Date: 9/12/2014 4A2:55PM <br /> Assigned To: EE0001788 CASTANEDA Assigned Date: 9/12/2014 <br /> Prooram/Element Code 1600-FOOD PROGRAM <br /> Complainant: ANON Home Phone <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> (C)HAS NEIGHBOR WHO PURCHASED A HAMBURGER FROM FACEBOOK(209 FOOD SPOT)AND BECAME SICK. <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 /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location RP/DBA <br /> RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated t l� -, Inspector ID#. Ca y-r C-b <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0-7" <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 0 -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-END 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 />