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"Mplair►L neooru upumLea Cy,: waze: / / <br /> Revised Report #5104 7/8/93 <br /> / <br /> r <br /> Date run: 12/15/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by SYLVIA Page # 2 <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> 1.fMANNMMMMMMMMMAIMMMMI�thfMMMMMMMMMMMMMMMMMMMMMMMMM�MMMMMAANIHMMMMMMMMMA�MMMMM <br /> COMPLAINT S : 00001188 Program/Element : 1600 <br /> Taken by 7354 SYLVIA MARTINEZ Date: 12/15/93 Assigned to : 3973 ROBERT MCCLELLON Date: 12/15/93 <br /> Facility Name: SPOT FAMILY RESTAURANT THE Fac ID: 001285 <br /> BILL to inventoried FACILITY: <br /> Location: 1233 E CHARTER WAY (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Into - <br /> DBA or Name: SPOT FAMILY RESTURANT Loc Code 01 <br /> Address: 1233 E CHARTER WAY SOS Dist 001 <br /> City: STOCKTON 95205 APN 0 <br /> Phone: 209-468-0689 <br /> WILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: ANDRES 6 XENOPHON PETRI Home Phone: <br /> Address: <br /> <br /> Nature of Complaint: <br /> - COCKROACHES - <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-SD 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 Promise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br />