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4'=L= !Vf!. Q• !,'/-va *A!! „4Q USN QQUN!Y PUBLIC HEAL 1H SERVIC Report 05104 y <br /> Run by : CAROLINE Page_ # 1 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> h!M M.MMM.M�dh!h!h!MM.MMM..MMM!�!Id.MMMMMMM��+M.MMM!fM.M?!MMM.MMMl !9KfMf!.MMM.MMraa.ua r .l9Mn914 <br /> MhiM <br /> COMPLAINT 00001$$3 Program/Elemen.t..r:-000r <br /> 11 -00 <br /> Taken by : 2115 CAROLINE HASCIMENTO [tato; 05/17/94 Assigner! to - s-_ ._. . SE nate; 05/17/94 <br /> Facility Name: SAN JOAQUIN COUNTY FAIR. Fac ID: 005634 0-;6 j- -� <br /> BILL to inventoried FACILITY: <br /> i . <br /> Location: 1658 S AIRPORT WAY (Phis+ have FACILITY TD#) t <br /> I <br /> Complainant: <br /> rI <br /> FACILITY LOCATION/Property Info <br /> l <br /> DBA or Name: SAN JOAQUIN CO.FAIRGROUNDS Loc Code 01 j <br /> Andress: 1658 S AIRPORT WAY BOB Dist 002 <br /> City: STOCKTON APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Home Phone: <br /> Address: Work Phone: - <br /> City: <br /> Mature of Complaint: <br /> RENTS BOOTH EACH W/END-CHEMT_-CAL TOILETS ARE FILTHY-INSIDE BATHROOMS <br /> NOT WOR.KING;NO WATER,NOT PROVIDING A PLACE TO WASH HANDS._ <br /> MANAGER OF BOOTHS;EMPRESA VALDIVIA,T-S IN CHARGE OF BOOTHS; ETC. <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Center M-Mail/Correspondence <br /> O-Other H Unit P-Phone <br /> COMPLAINT STATUS: cig t Q <br /> 01-Field Abated 02- ffice Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise Fite 07-Refer to Other Agency 08-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: I -I-I ITT IV for investigation <br /> COMPLAINT 9 : G00018$3 Date: 05/17/94 <br />