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d <br /> = Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032654 Site Location: EGG/ FOOD RECALL- COUNTYWID Account ID: : <br /> Receivedby: EE0000467 CARRUESCO Received Date: 9/21/2010 Print Date: 9/21/2010 3:50:18PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 9/21/2010 <br /> Proaram/Etement C0de:1600-FOOD PROGRAM <br /> Complainant: ;ENVIRONMENTAL HEALTH DEPT Nome Phone <br /> Address ;TIME TRACKING Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> EGG RECALL FOLLOW-UP BETWEEN AUGUST 16TH-SEPTEMBER 7TH,2010. UNIT I STAFF USED R77 SERVICE CODE FOR ALL RELATED <br /> RECALL ACTIVITIES. <br /> ***NOTE: THIS IS FILED UNDER"UNKNOWN ADDRESS"IN THE"FOOD RECALL-COUNTYWIDE"FOLDER FOR QUESTYS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriffs Office <br /> ---- ----------------------------------- <br /> PROPERTY <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 Abatedr — Inspector: v4w-7 —6tZ:7 - <br /> -—— — <br /> ------------——--------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: V <br /> Circle appropriate Status Code v <br /> 9:L-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> (Q/�-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY, <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 /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 1 <br /> 5/rpt <br />