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y. LN' <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00040524 Site Location: 3919 E FRENCH CAMP RD AcceuntlD: AR0011082 <br /> Received by: EE0008999 HUYNH Received Date: 1 011 31201 5 Print Date: 10/13/2015 4:24A IPM <br /> Assigned To: EE0008999 HUYNH Assigned Date: 10/13/2015 <br /> Program/Element CodeA600-FOOD PROGRAM <br /> Complainant. : LEYNA HUYNH-EHD Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com faint: <br /> CATS ARE INSIDE THE FACILITY. <br /> Complaint Mode., Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> I-Intemet l Email S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0007378-FRENCH CAMP RV PARK RESORT Owner: OW0005994-CANADA COVE LLC <br /> Site Location 3919 E FRENCH CAMP RD RP/DBA FRENCH CAMP RV PARK <br /> MANTECA,CA 95336 RP Address 3919 E FRENCH CAMP RD <br /> Cross Street FRENCH MANTECA,CA 95336 <br /> Mailing Address: PO BOX 1500 Billing Address PO BOX 1500 <br /> FRENCH CAMP,CA 95231 FRENCH CAMP,CA 9523 1-1 500 <br /> Home Phone :209-234-3001 EXT; LLC <br /> Phone :925-516-4533 Work Phone :209-234-8390 <br /> District 001-VILLAPUDUA,CARLOS Location Code 99-UNINCORPORATED AREA <br /> APN 20103014 r h <br /> Date AbatedQ/ { Inspector ID#: n t r <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O <br /> Circle appropriate Status Code <br /> J <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Record He <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing Fite RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> amp amt eviewe y: .� ate: p ate y: ate: <br /> 5104.rpt <br /> t <br />