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avV noFaa, L AN{VT I/O/.7.i <br /> Date run: 12/22/93 SAN JOA©UIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by : SYLVIA Page A 3 <br /> copy 9 : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMM1�LFfMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMAAMMMMAfMMAlMMMMMMMMMMMMMMMM �fffrrr••" J/ <br /> COMPLAINT f : C0001214 Program/Element : 4400 <br /> Taken by ; 7354 SYLVIA MARTINEZ Date: 12/22/93 Assigned,to 02 Date: 12/22/93 ff <br /> 3 c/ <br /> Facility Name: _ J. Fac ID: 636 <br /> OV( aI°2ff1 �,s' ��o .�yy,� ,�_�BILL to inventoried FACILITY: <br /> Location: ANITA ST ! ''��(Must have FACILITY IDp) <br /> <br /> <br /> <br /> <br /> ' <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: A)K- 5P8 rJ6 IO "ki1Ck•� Loc Code 01 <br /> Address: /tDw1�4 BOB Dist : Dol <br /> City: STOCKTON 95205 PN 9 <br /> Phone: <br /> BILLING RESPON3I69PA.nnRT��Y�� r OMiER Info <br /> Name: ��#fv (0 Home Phone: <br /> ,Address: 0 6 A�j Work Phone: <br /> City: — j <br /> Nature of Complaint: <br /> STAGNANT WATER IN VATS - <br /> COMPLAINT Info <br /> COMPLAINT MODE: A AGENCY REFERRAL ' <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: �Ia <br /> 01-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 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br />