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't Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00017264 Site Location: 14th & 73 rd AVE Account ID: <br /> Received by: EE0006519 DISA Received Date: 3/20/2002 <br /> Assigned To: EE0009157 BARCELLOS Assigned Date: 3/20/2002 <br /> Pr2gram/Element Code: 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> Nature of complaint_ <br /> DAMEON EKE(209)982-4438 ATE AT KENTUCKY FRIED CHICKEN AT E 14th&73 AVE OAKLAND, CA.ON MARCH 10,2002.BECAME ILL <br /> ON MARCH 11,2002. DIAGNOSED WITH SHIGELLA. <br /> Complaint Mode A Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-MaiilCorrespondence O-Other EH Unit C-Counter P-Phone <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner: <br /> RP/DBA: <br /> Site Location: E 14th&73rd <br /> RP Address: <br /> OAKLAND,CA <br /> Billing Address:: <br /> Phone: Phone: Hm: <br /> Wk: Number Not Specified <br /> District Location Code <br /> APN <br /> Date Abated <br /> inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by. <br /> Date: <br /> i <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07 eferred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-Invalid f Unable To Verity 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant WlSoil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> i <br /> 5104.rpt <br />