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y1J ��f / / tyy .I, <br /> lJVHWPJIN t,t UJN f T F'U0L_Ik, MCHC rl I )r-MVI � neport RarV4 <br /> Runbly : CAROLDPage # , 1 <br /> Copy # : 01 Of liar COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0010611 Program/Element:!- 3611 <br /> Taken by : 6519 RISA Date: 07/14/98 Assigned to 0740 ASKANAS Date: 07/17/98 " <br /> Hard COPY Printed: 07/14/98 'J'j <br /> Facility Name ; CAMANCHE......GARDErN_.._APARTMENTS Fac ID: 00232 ... <br /> BILL to inventoried FACILITY: <br /> Locat i on: 6,13_._ -.-.E CAMANCHE. (Must have FACILITY I01) <br /> .a <br /> Complainant: RUSSEL................_.....................__...._......................................................_.....__.._........................Home Phone= 209-478-8619 <br /> Address: Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name. CAMANCHE GARDEN APARTMENTS Loc Code : 01 <br /> .. <br /> ...................._._................................................................................................................................._........................_............................................................... ............ <br /> Address: 613 E CAMANCHE BOS Dist : <br /> City= STQCKTON 95207 APN # <br /> Phone- 209-465-5000 <br /> j� <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name : CAMAN CHE GARDENS ...._........_.._._ Horne Phone : <br /> Address: PO 80X 2722 .._.........Work Phone: 209465-5000 <br /> City : DANVIi. E CA 94526 <br /> Nature of Complaint: <br /> SOMETHING GROWING ON TOP OF WATER IN POOL, LIKE MOLD . ' <br /> i <br /> bD apt C'0 <br /> COMPLAINT Info — <br /> �i <br /> COMPLAINT MODE: P.........PHONE a <br /> F <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/COrrespondence J <br /> 0-Other EH Unit P-Phone '1 <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> -Transfer to PremisefT1g-�07-Refer to Other Agency 08-Not valid 09-Foodborne illness <br /> � a <br /> Send Referral Letter to: <br /> Address: w <br /> Referral Letter Sent by: Date : <br /> Circle aPProPriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> ,r <br /> Forwarded to UNIT: II III Iv for Investigation I <br /> s 'j <br />