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run : 08/31/ SAN TOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run b; � CAROL Page # 1 <br /> Co(: 1: - 01 of O1 COMPLAINT INVESTIGATION REPORT <br /> r'1i°Ir'7i ir`91 rr°hvli°1111°JNIMMNIMMMMNIMMMMMMMMMMMMMMMMMMMMMMMMMMMMMNIMMMMMMMMMMMMMMMMNIMMMIvIMMNINJMMMM <br /> COMPLAINT # = C0012899 Program/Element 3611 <br /> Taken by 6519 DISA Date: 08/31/99 Assigned to 0794 MATHEW Date: 08/31/99 <br /> Hard copy Printed- <br /> ac:ility Name VILLAGE NORTH APARTMENTS Fac ID : 00211% <br /> BILL to lrventoried FACILITY <br /> Location` ?0.. _W, BENJAMIN HOLT Dr, (Must haw FACILITY ID#) <br /> Complainant= / <br /> <br /> ......._....... ......... ....... .......... .. <br /> FACILITY LOCATION/Property Info — <br /> DBI'l or Narne : VILLAGE NORTH APARTMENTS Loc Code : 01 <br /> Addres 302 W BENJAMIN HOLT DR POS Dist : 002 <br /> Cit / STOCKTCN, 95207 APN # <br /> Phone : 209-474-3259 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: PREVIEW PROPERTIES Home Phone : 415--363-0883 <br /> Address : P 0 BOX 345 Work Phone : <br /> Cit, MENLO PARK CA 94026 <br /> 9ature of Cmplaint! <br /> POOL- IS NOT BEING TAKEN CARE OF , THERE IS ALWAYS HAIR , DEBRIS AND <br /> SOMETIMES FECES FROM SMALL CHILDREN . AREA AROUND POOL IS ALSO NOT <br /> CLEANED REGULARLY THERE WAS VOMIT ON SIDE OF POOL FOR THREE DAYS . AND <br /> SOMEONE DEFACATED IN BUSHES STILL HAS NOT BEEN CLEANED UP . <br /> COMPLAINT Info — <br /> COMPL ':S' MODE- PHD*E <br /> A gency hafa� �a, E-BD SF "supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> C-ntt(heer EH Unit P-Phone <br /> - -- I Vb_ <br /> "P-,.n. .:d u5. <br /> 01-Field" Abated 02-Offica Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> -Al Letter Sent by : Date <br /> e approp ate Unit k .f complaaiiinnt in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> urwaraed La A— / I / ITI IV for Investigation <br />