Laserfiche WebLink
ite run : 11/08/99 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report P5104 <br /> �n $y If DENORA1 Page # 4 <br /> Spy # O1 of 0��—��-1111111 COMPLAINT INVESTIGATION REPORT <br /> vMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMAIMMMMAr <br /> 3MPLAINT # C0013254 Program/Element : 29eD- <br /> .en by : 6519 DISA Date: 11/08/99 Assigned to : 0451 SASSON Date: 11/08/99 <br /> A copy Printed: /� J 1 f <br /> acility Name : _ Fac ID : J "( <br /> BILL to inventoried FACILITY: <br /> _)cation: 3437 S AIRPORT WAY (!lust have FACILITY IDC <br /> Dmplainant : <br /> : <br /> ACILTTY LOCATION/Property Info - <br /> DBA or Name : 1 !lf1?1 �� ��L� "rte Loc Code : <br /> Address : _ BOS Dist : <br /> city : _ C �y � A P N # : <br /> Phone : J v ' <br /> fLLING RESPONSIBLE PARTY ,or OWNS <br /> Name ' Cl Home Phone : .7 <br /> Address : Work Phone : <br /> City: <br /> cure of Complaint: <br /> DELTA CONTAINER TRUCK LOST APPROXIMATELY FIVE GALLONS HYDRULIC OIL <br /> OMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> O-Other E8 Unit P-Phone <br /> COMPLAINT STATUS: O r <br /> OI-Field Abated 02-Office Abated 03-VAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> Send Referral Letter to: I _ <br /> Address : <br /> Referral Letter Sent by: D te : <br /> I <br /> ircle appropriate Unit P if complaint in aD,,, ' <br /> PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 1I IV for Investigation <br />