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Date run. 07/23/98 SAN JOAQUIN COUNTY PUBLIC; HLAL I H ttepasE Invis <br /> Run by : CAROLD���'X Page #t 2 <br /> Copy # : 01 of 0 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # COO1O688 Program/Element : 2532 <br /> Taken by : 0606 TREVENA Date: 01/22/98 Assigned to 0606 TREVENA Date: 67/23/98 <br /> Hard copy Printed: <br /> Facility Name : ........ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: S BANTA RD . (Must have FACILITY ID#) <br /> Complainant: O .E .S . .........._.... . ....Horne Phone : <br /> Address: Work Phone : <br /> TRACY CA <br /> .................. <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name: .........Lac Code <br /> Address- 5...._BANTA.....RD....._.................... .... ....._..._....... _E36S Dist <br /> City: TRAPN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: ..............._..__........_.....__..........._.....Home Phone : <br /> Address : Work Phone: <br /> City : ....... <br /> Nature of Complaint: <br /> CROP DUSTER CRASH . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral 8-80 OF Supervisors/City CCOURCil C-Counter M-Mail/Correspondence <br /> M <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: O <br /> �rnjield Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> U/11T <br /> ransfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : _ Date: <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II G IV for Investigation <br />