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t"t'4j <br /> te r` Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051325 Site Location: 555 INDUSTRIAL PARK DR Account ID: <br /> Received by: EE0000467 CARRUESCO Received Date: 12/10/2019 Print Date: 12/10/2019 11:39:37AM <br /> Assigned To: EE0078788 FAHMY Assigned Date: 12/10/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> <br /> <br /> <br /> Nature of complaint: <br /> OPERATING A MOBILE FOOD TRUCK WITHOUT A HEALTH PERMIT. <br /> Complaint Mode: P 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 /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------ - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 555 INDUSTRIAL PARK DR RP mailing address <br /> MANTECA,CA 95337 <br /> Cross Street MELLON <br /> Mailing address RPcontact <br /> RP contact phone <br /> Phone <br /> Property Owner:MANTECA CITY OF REDEV AGENCY <br /> DBA MOBILE REVIVAL FAMILY RESOURCE CENTER <br /> Owner address <br /> Billing Address 1001 W CENTER ST <br /> MANTECA,CA 95337 <br /> Home Phone <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 04-MANTECA <br /> APN 22119076 <br /> Date Abated ; (i Inspector ID#: IZ-I,3 <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 aint Reviewed by:, ate: pate y: ate:�]DOL_= I A 12) <br /> 5104.rpt <br />