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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00036524 Site Location: 3919 E FRENCH CAMP. Account ID.- AR0026857 <br /> Received by: EE0009817 LOPEZ Received Date: 6/18/2013 Print Date: 6/18/2013 3:58:21 PM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 6/18/2013 <br /> Program/Element Code:1600-FOOD PROGRAM <br /> Complainant: :ROBERT LOPEZ Nome Phone <br /> Address Work Phone <br /> 77E-Mall Address <br /> Nature of complaint: <br /> CATS INSIDE OF STORE(PRO SHOP). EMPLOYEES FEED THE CATS INSIDE THE STORE TOO <br /> Complaint Mode. O Complaint Mode Codes A-Agency Referral B-Bd of Supervisors!City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> I-InternetI Email S-Sheriffs Office <br /> --------------------- <br /> -----—————————— <br /> FACILITY INFORMATION OWNER}INFORMATION <br /> Facility:FA0015559-FRENCH CAMP SPORTS CAFE Owner: OW0017101 -A LA PLAYA NEXT STOP INC <br /> Site Location 3919 E FRENCH CAMP RD RP/DBA FRENCH CAMP SPORTS CAFE <br /> MANTECA,CA 95336 R?Address 16175 S MCKINLEY AVE <br /> j Cross Street # LATHROP,CA 95330 <br /> Mailing Address: 16175 S MCKINLEY AVE Billing Address 16175 S MCKINLEY AVE <br /> LATHROP,CA 95330 " LATHROP,CA 95330 <br /> Nome Phorne :209-858-4173 <br /> Phone :209-234-2415 Work Phone :209-275-5236 EXT: CELL <br /> {y District Location Code : <br /> APN <br /> Data Abated `0 2V l+'J Inspector ID#.• U y <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> 1 <br /> Complaint Status Code: Ub <br /> Circle appropriate Status Code I <br /> A <br /> I 12-DA Referred Complaint-See Violation Tracking Form <br /> 01-FIELD ABATED 15-ACTIVE"HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> l 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-DisasterPlanning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> t i <br /> o <br /> 5104rpt , . <br />