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Date run: 08/20/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by ROSEMARY Page # 5 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM • <br /> COMPLAINT # : C0000540 Program/Element 2500 <br /> Taken by : 0519 ROSEMARY FLORES Date: 08/20/93 Assigned Date: 08/20/93 <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 539 CAROL ST MTCA <br /> (Must have FACILITY ID#) <br /> <br /> : <br /> FACILITY LOCATION/Property Info <br /> DBA or Name: _�Sb an*-&-r (' ,��� . Sd L . Loc Code : 04 <br /> Address: 539 CAROL ST BOS Dist, : 006 <br /> City : MANTECA APN # <br /> Phone: <br /> 2.l 7— hyo <br /> OWNER Info — BILLING Party: <br /> Owner/Agent: Home Phone: ......_ <br /> Address : Work Phone: - <br /> ` City : _ <br /> Nature of Complaint: <br /> NEIGHBOR IS CLEANING HER DRIVE WAY W/CLOROX & PINSOL —. IT RUNS TO THE <br /> NEIGHBOR ' S SIDE WALK WHERE HER CHILDREN PLAY <br /> 7 <br /> COMPLAINT Info — <br /> COMPLAINT NODE:, P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mai 1/Correspondence <br /> 0-Other EH Unit- P-Phone <br /> d <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 08-Not Valid 09-Foodborne Illness <br /> i <br /> r <br /> t <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> r <br /> — Pori-Ard?d to IINT1'• T TT T T T TV fAr 3nvae+;n�+;nom <br />