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Complaint Investigation Form -Report#:5104 <br /> COWIPL�INT ID: C00033969 Site Location: BABYCAKES CAKE POPS BY MRS. PALMER <br /> Received by: EE0000467 CARRUESCO <br /> Received Pate: 811612017 Print pate: 8/16/2011 444AIPM ° <br /> Assigned To: EE0001084 RAMIREZ Assigned mate: 8/16/2011 <br /> Program/Element Co 1600-FOOD PROGRAM - <br /> Complainant: Complainant Not Specified Name Phone <br /> Work Phone <br /> Address i <br /> E-Mail Address <br /> Nature of complaint: <br /> ILLEGAL BAKERY. SEE ATTACHED. <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 /> I-Internet I Email S-Sheriff's 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 /> Bilfing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated l -U-1 Inspector ID#: <br /> --------- W --------- -_- <br /> Send Referral to Refers!Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Cade <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 01-FIELD ABATED �-.._.• <br /> 01-OFFICE ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 3-NAI SENT 52-LEAD Abatement Regired-See Program Record File <br /> 0NOTICE TO ABATE ISSUED 97-Disaster Planning and Response <br /> V5-DA-ENFORCEMENT ACTION INITIATED 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 SUBSTANDARDIUNS£CURED-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 /> I <br /> 519E-1pt <br />