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Date run: 01/25/95 . SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by CAROLINE/Gv�-- Page # 1 <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0043230 Program/Element : 4000 <br /> Taken by : 0369 ALAN BIEDERMANN Date: 01/25/95 Assigned to : .0369 ALAN BIEDERMANN Date: 01/25/95 <br /> Hard copy Printed: <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 1-1.40..1B.ESS NER.... _... ...................._MANTFCA (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : MCCLOUDS DISTRIBUTION CENTER Loc Code : -0­ <br /> 4 <br /> Address: 1140 BESSENER BOS Dist 005 <br /> .................._..................._..........................................._.................._.._................................ ... <br /> City - MNTEC.A APN # : <br /> Phone : 209-823.-8053 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : MCCLbUDS PET EMPORIORMS Home Phone :- <br /> Address: Work Phone: <br /> City' <br /> Nature of Complaint: <br /> SUSPECTED PSITTACOSIS FROM MCCLOUDS PET EMPORIUMS , DUBLIN , TRACY , MTCA <br /> STACIE IN STANFORD HOSPITAL ( 41S-72S-9245 ) ANY QUESTIONS , SEE ME: ALAN <br /> BEIDERMANN ( 468-3912 ) <br /> V� Y � <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/COT respondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> .................. <br /> til-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 00-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q II III I4 for Investigation <br />