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ate run: '08/11/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 k <br /> -'-'-'R un 'by : ROSEMARY Page # 2 <br /> copy # 01 of 01 COMPLAINT INVESTIGATION REPORT PO <br /> MMMMMM'MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # CO000450 Program/Element : 4206 , <br /> Taken by' : 0519 ROSEMARY FLORES Date: 08/11/93 Assigned to Date: 08/11/93 <br /> a6 <br /> Facility Name: Fac ID: <br /> T BILL to inventoried FACILITY: <br /> Location: 1914 AUTO STOCKTON (Must have FACILITY V <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property jnnfo <br /> DBA or Name: G;gEmSLEY BAMftRA Loc Code : 99 <br /> Address: 1914' AUTO BOS Dist : 001 <br /> E City: STOCKTON 95205 APN # <br /> Phone: <br /> OWNER Info — BILLING Party: -_--.,,__ } <br />` Owner/Agent: Home Phone: <br /> Address: Work Phone: <br /> City : <br /> 4 <br />� Nature of Complaint: <br /> I SURFACING SEWAGE IN SPACE #5 — THE YARD IS SEALED OFF BY A FENCE BUT <br /> CAN BE SEEN FROM SPACE #7 <br /> I <br /> COMPLAINT Info — <br /> F COMPLAINT MODE: <br /> A-Agency Referral 8-80 OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Or <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 08-Transfer to Premise File 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 II III IV for Investigation <br /> J . <br />