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Cwt' Complaint Investigation Form Report#:5104 <br /> 'Ali` -- - --- <br /> COMPLAINT ID: C00033132 Site Location: FOOD RECALL- COUNTYWIDE A=unt ID: <br /> Received by: EE0000467 CARRUESCO Received Date: 2/2/2011 Print Date: 212!2011 4:32:14PM <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 2/2/2011 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :ENVIRONMENTAL HEALTH DEPT Home Phone <br /> Address :TIME TRACKING Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> BAVAN CANDY FOOD RECALL TRACKING COMPLAINT. <br /> Complaint Mode., O Complaint Mode Codes A-Agency Referral B-13d of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sherifrs Office <br /> — <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location BABAN CANDY FOOD RECALL RP/DBA <br /> COUNTYWIDE,CA RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> i <br /> District Location Code <br /> APN <br /> Date Abated f Inspector: <br /> l i/"lUd 7 ------- ---- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code._{L�- <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-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 <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 SUBSTANDARDILINSECURED-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 /> EE <br /> f <br /> i <br /> 511 <br /> 1 .rpt <br />