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Date run= 10/16/ 6 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 11 <br /> Run by KAREN /� <br /> Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0007054 Program/Element : 4000 <br /> Taken by : 0140 BRUCE ASKANAS Date: 10/16/96 Assigned to 0140 BRUCE ASKANAS Date: 10/16/96 <br /> Hard COPY Printed: <br /> Facility Name : Fac ID = <br /> BILL to inventoried FACILIIY: <br /> Location- 722....C_OM_MER. RCE_.#A. (Must have FACILITY ID#) <br /> Complainant.: 8R.. CE...ASKANAS_..... _...._Home Phone: <br /> Address. ..Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name Loc Code <br /> Address <br /> Cit APN # BOS Dist = <br /> .... <br /> y � / <br /> Phone- <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name !.t n_._. Home Phone: <br /> _C.h..+.�_.v+� <br /> Address- 5f.�.g....�f.Y. v`�c....e.,! A.r...� S .........Work Phone = <br /> City = <br /> Nature of Complaint. <br /> VECTOR PROBLEM ( ROACHES, & RATS ) , <br /> SAN r '1-x-96 C 49. <br /> COMPLAINT Info — <br /> COMPLAINT MODE: <br /> A-Agency Referral B-BD OF Supervisors/City CCOUnCil M-Mail/Correspondence <br /> O-Other EH Unit, P-Phone j� <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sen 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 01-Refer gency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 4 if Complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 46 11 III IV for Investigation <br />