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omplaint Reviewed by: 1-- 61 .2....c 243 i Date: <br />51 04. rpt <br />1 i <br /> <br />Complaint Investigation Form Report #: 5104 <br />COMPLAINT ID: C00052365 Site Location: MOUNTAIN HOUSE Account ID: : <br />Received by: EE0000467 CARRUESCO <br />Assigned To: EE0004589 LINHARES <br />Program/Element Code 1600- FOOD PROGRAM <br />Received Date: 7/28/2020 Print Date: 7/29/2020 3:55:59PM <br />Assigned Date: 7/28/2020 <br />Complainant: ANONYMOUS <br />Home Phone <br />E-Mail Address <br /> <br />Nature of complaint: <br /> <br />SELLING HOMEMADE FOOD WITHOUT AN El-ID HEALTH PERMIT. ADVERTISING ON A MOUNTAIN HOUSE FACEBOOK PAGE. <br />Complaint Mode: I Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriff's Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location 0 <br />MOUNTAIN HOUSE, CA 95391 <br />Cross Street <br />Mailing address <br />Phone <br />Property Owner: REYNA BRAVO CARFLANZA <br />DBA DELICIOUS TREATS <br />Owner address <br />Billing Address SMALL $15 MEDIUM $30 LARGE $55 <br />MOUNTAIN HOUSE, CA 95391 <br />Home Phone <br />Work Phone <br />District 005 - ELLIOTT, BOB <br />APN NONE <br />RESPONSIBLE PARTY INFORMATION <br />RP contact <br />RP contact phone <br />Location Code 99- UNINCORPORATED AREA <br />RP DBA <br />RP mailing address <br />Date Abated Inspector ID #: t-s\ r\V-NoNi <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date' <br /> <br />Complaint Status Code: 06 <br />Circle appropriate Status Code <br />01 - Field Response-Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Referred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10- POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12- DA Referred Complaint-See Program Enforcement Action Form <br />15- ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed-No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED-Old Complaint-No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued-Pending Well Installation <br />RS - Resolved - New Well Installed <br />Si -Tank pumped <br />S2 - Hooked up to public sewer <br />Updated by: <br />f 1b Date: <br />