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W.vr% Complaint Investigation Form Report#. 5104 <br /> COMPLAINT ID: C00039876 Site Location: ESCALON Account 10: <br /> Receivedby: EE0005366 MEDINA Received Date: 6/16/2015 Print Date: 6/17/2015 95326AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 6/16/2015 <br /> ProoromiElement Code.1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> COMPLAINANT STATES MR HAYNES BBQ IS OPERATING IN SAN JOAQUIN COUNTY WITHOUT A HEALTH PERMIT IN TRACY,ESCALON, <br /> LATHROP,LINDEN AND MANTECA <br /> Complaint Mode. P Complaint Mo tle Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> _---- - .-- — __ - - - -- -_— - - _.. __ __ — — - - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:MR HAYNES BBQ CATERING Responsible Party or Property Owner MR HAYNES <br /> Site Location RP/DBA MR HAYNES BBQ CATERING <br /> ESCALON,CA RP Address PO B OX 123 <br /> Cross Street ESCALON,CA 95320 <br /> Billing Address PO B OX 123 <br /> Home Phone :209-556-8231 <br /> Phone Work Phone <br /> District : Location Code <br /> APN <br /> Date Abated g 1 V-,1 —l Inspector ID#.: n <br /> ——— —— —— —— — ——————————— __ ———— ——— <br /> Send Referral to Referral Letter Sent by <br /> Reterral Address Date: <br /> Complaint Status Code:f1 <br /> Circle appropriate Status Code <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 File <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 <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp am eviewe y ate Updated by: ate: <br /> 51N rpt <br />