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Date run: 12/22/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by SYLVIA Page p 3 <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMAfMMMM4IMFIMMMMMMMA1MMMhfMMMMMMMMhfAfmAfMMMMAfAIMMMMMMAIMMMFIMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT f : C0001214 Program/Element : 4400 <br /> Taken by : 7354 SYLVIA MARTINEZ Date: 12/22/93 Assigned to : 0756 CAROL OZ Date: 12/22/93 <br /> Facility Name: _ Fac ID: <br /> JDf _�BILL to inventoried FACILITY: <br /> Location: ANITA ST �f (Must have FACILITY IDO) <br /> � <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Loc Code 01 <br /> Address: <br /> APN p <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Home Phone: <br /> Address: Work Phone: <br /> City: <br /> Nature of Complaint: <br /> - STAGNA14T 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 /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <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 OB-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM ,jurisdiction, Have Complaint Record and P/E updated <br />