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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00052335 Site Location: MOUNTAIN HOUSE Account ID: <br /> Received by: EE0000467 CARRUESCO Received Date: 7/28/2020 Print Date: 7/28/2020 9:12:19AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 7/28/2020 <br /> ProgramZement Code 1600-FOOD PROGRAM <br /> Complainant: ANONYMOUS <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> SELLING HOMEMADE FOOD WITHOUT AN EHD HEALTH PERMIT.ADVERTISING ON A MOUNTAIN HOUSE FACEBOOK PAGE. <br /> Complaint Mode: I Complaint Mode 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 /> [-Internet/Email S-Sheriffs Office <br /> -------------------------------------------- - - - - — <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 0 RP mailing address <br /> MOUNTAIN HOUSE,CA 95391 <br /> Cross Street <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:FAZAL SIDDIQI <br /> DBA <br /> Owner address <br /> Billing Address <br /> MOUNTAIN HOUSE,CA 95391 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 99-UNINCORPORATED AREA <br /> APN NONE <br /> Date Abated _\ 2 S- ��JO Inspector ID#: Ir S <br /> --------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aintReviewed y: a ate: pate y: ate:r <br /> 5104.rpt 4C/ l <br />