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pate runt 02/,21/9 ,-SAN JOAQUIN COUNTY PUBLIC HEALTH SE <br /> RRVIC un �y MAR Ck� <br /> Copy ## 01 of Report #51Q4 <br /> COMPLAINT INVESTIGATION REPORT page # 1 <br /> COMPLAINT # C0005562 <br /> Taken by :9843 MICHAEL COLLINS Date: 02/21/96 Program/Element = 1600 <br /> Hard copy Printed: Assigned to : 0843 MICHAEL COLLINS Date: 02/21/96 <br /> Facility Name: 00PJ67 <br /> .. Fac ICS <br /> Location 2©.....L-TN. .....SKY.....COU.RT BILL to inventoried FACILITY: <br /> (Must have FACILITY I00) <br /> Complainant : <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> ....... .... #,1 Loc Code <br /> BA or Name MARISC05 CHECO <br /> Address LT�_NC#.1.5C?2.591 _.............. . <br /> City: ....... ........ .....__BOS Dist <br /> Phone APN # <br /> BILLING RESPONSIBLE PARTY or OWNER Info— <br /> Name : FE_.R"NA_N O RE•=YE S ... .......Home Phone. 209-482-2065 <br /> Address.- 3.1.3....1/2.... FLQRA Work Phone <br /> ....... <br /> City: ...._ <br /> Mature of Complaint: <br /> MFPU PARKED AT NIGHTS AT 313 FLORA . NOT USING COMMISSARY . USING ` <br /> GARAGE_ TO COOK IN . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: <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 D5-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 /> Forwarded to UNIT: I� II III IV for Investigation <br />