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1400)at- 06/08/a SAN .JOAOIJIN COUNTY PUBLIC HEALTH SERVT( Report 15104 <br /> RuP b�"! CAROLDPage # 1 <br /> Cdpy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0012377 Program/Element. : 4200 <br /> Taken by 6519 DISA Date: 06/08/99 Assigned to 1699 YOAKUM Date: 06/08/99 <br /> Hard copy Printed' <br /> Facility Name- Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location- '0 BYRON (Must have FACILITY IDq) <br /> Complainant ` <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> C,- Loc Code <br /> 2430 BYRON BOS Dist <br /> Y APN # <br /> z3S-�S-o -zZ <br /> RESPONSIB' '* PARTY or OWNER Info — <br /> BILLING I. JogyNAMC< Home Phone , <br /> 33 7 G 1,/} s P4DRE-S_ PR.___ work, Pher- <br /> T2wey Cg 9$rJ`�L <br /> Natu�c - <br /> SCPTIC OVER FLOWING ONTO NEXT PROPERTY . ON S .E - CORNER - MR . i IENSEL ! <br /> CONTACTED OWNER AND ALSO WENT OUT TO SEE PROBLEM _ <br /> COMPLAINT Info <br /> > Agency Refers; 3D CF SuPsrviscrs/Ca, C ouncil -Counter M-Maii'Corresponcenc,: <br /> 0-01her EH Unit P-Phone <br /> CBMPLAINT STATUS OZ. <br /> i1 Field Abated 2-Offi^_e Abated OS-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT 'nitiatsd <br /> 06 Transfer to Premise -e 07 Refer to Other Agency 08-Not Valid 09-Foodborne Illnes-, <br /> Send Referral Letter to: <br /> Address: <br /> R'fl I ';I Lei aunt L>' = Date = _— <br /> Circe appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P,'E updated <br /> F— arded to UNIT I 0 III IV for Investigation <br />