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Complaint Investigation Form Report#:5104 <br /> COM9iIA1NT1D: 000032861 Site Location: WEBSITE WWW.SUMELINAC ( Account 10: <br /> Received by., EE0003952 JOHNSON Received Date: 11/10/2010Print Date: 11/10/2010 3:39:49PM 1 <br /> Assigned To: EE00004 Y� yh Assigned Date: 11/10/2010 <br /> i <br /> Programl lement Code 1600-FOOD PROGRAM <br /> Complainant: Complainant Not Specified Home Phone <br /> Address Work Phone ; <br /> E-Mat!Address <br /> Nature of complaint., <br /> WEBSITE MAYBE PREPARING BAKE GOODS @ HOME ADDRESS&SELLING TO PUBLIC W/O PERMIT. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -Intemet 1 Email S-Sheriffs Once <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 /> i <br /> District Location Code <br /> APN <br /> Date Abated Ir (')_ IU Inspector: J. YO*ru" <br /> ------------------ ------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code n 9 <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 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 <br /> 06-END 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 /> 5104,rpt <br />