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z -- (�ro Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00031619 Site Location: 3919 E FRENCH CAMP RD Account ID: AR0026857 <br /> Received by: EE0001420 MENDE Received Date: 2/23/2010 Print Date: 2/23/2010 8:56:47AM <br /> Assigned To; EE0000321 OLIVEIRA Assigned Date: 212312010 <br /> Prooram/Element Code:1600-FOOD PROGRAM <br /> Complainant: :MELISSA MENDE Home Phone <br /> Address Work Phone i <br /> E-MailAddress <br /> Nature of complaint., <br /> FACILITY INSTALLED JOINT WALK-INS OUTSIDE BEHIND THE RESTAURANT IN THE PAST SIX MONTHS WITHOUT A BUILDING PERMIT. <br /> Complaint Mode: O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax I <br /> i <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> -------------- - ---—--------------- --------------- <br /> FACILITY <br /> --- ------ ------- -----FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0015559-FRENCH CAMP SPORTS CAFE Owner: OW0005994-CANADA COVE LLC <br /> Site Location 39191?FRENCH CAMP RD RPIDBA FRENCH CAMP RV PARK <br /> MANTECA,CA 95336 RP Address 3919 E FRENCH CAMP RD <br /> Cross Street MANTECA,CA 95336 <br /> Mailing Address: PO BOX 1500 Billing Address PO BOX 1500 <br /> FRENCH CAMP,CA 95231 FRENCH CAMP,CA 95231-1500 <br /> Nome Phone :209-234-3001 EXT: LLC <br /> Phone :209-234-3011 Work Phone :209-234-8390 <br /> District 001 -VILLAPUDUA Location Code 99-UNINCORPORATED AREA <br /> APN 20103014 <br /> Date Abated Inspector,, <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 1/� <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-NAE SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHO FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07- EFERRED 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 /> f 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104./ <br />