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i <br /> Complaint Investigation Form <br /> Report#:5104 <br /> OMPLAINT ID: C00031808 Site Location: 25520 E HWY 4 Account 1D- AR0000066 <br /> Received by. 7MC n Received Date: 312912 0 1 0 Print Date: <br /> Assigned To: cl'c 3/29/2010 4:15:38PM <br /> Assigned Date: 3/29/2010 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> I <br /> Complainank ; <br /> <br /> <br /> Nature of complaint. <br /> FACILITY ADDED ONTO WALK-IN WITHOUT BUILDING PERMIT(NORTH 4 DOORS). <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> —.——— —I -- <br /> ---------- ------------------- <br /> ——— ——E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION — — <br /> Facility:FA0000067-FARMINGTON GENERAL STORE Owner: OW0000056-KAUR,KARMALIIT <br /> Site Location 25520 E HWY 4 RPIDBA FARMINGTON GENERAL STORE <br /> FARMINGTON,CA 95230 RPAddress <br /> <br /> <br /> <br /> <br /> i <br /> District 004-VOGEL,KEN Location Code 99-UNINCORPORATED AREA <br /> APN 18722001 <br /> Date Abated Inspector. <br /> — <br /> ---- -- _. ———-- Leifer Sent by <br /> _ __ __ <br /> Send Refers!to �� — al — — `— — — <br /> __ <br /> =UG .p a V .11 �. <br /> Referr <br /> Referral Address QQG. Q Date: <br /> � Complaint History <br /> J V <br /> Complaint Status Code: 17—' Attached But Not <br /> Scanned <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-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07- EFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED S UBSTAN DARDIUN SECURED-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 /> iE <br /> 51 rpt <br />