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Date run: 11/14/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run I&y : KARENr Page # 2 <br /> Copy # : 01 off OI COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0009326 Program/Element 4200 <br /> Taken by : 3304 ARMSTRONG Hate: 11/14/97 Assigned to 0001 TURKATTE Date: 11/14/97 <br /> Hard copy Printed: <br /> Facility Name: _ . Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 3425 S . FAIRMONT AVE STOCKTON «.- y� (Must have FACILITY IDI) <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info -- <br /> DSA or Name: Loc Code : <br /> Address : BOS Dist : <br /> City: _ APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone: <br /> Address : Work Phone: <br /> City: _ T <br /> Nature of Complaint: <br /> The City of Stockton is dumping sewage and dirt in front of his house. <br /> Please call the complainant as soon as possible. <br /> U R GE' N'"T <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-hail/Correspondence <br /> O-Other 99 Unit P-Phone <br /> COMPLAINT STATUS: <br /> O1-Field Abated 02-Office Abated 03-WAI Sent 04-Notice to Abate Issued 05-Bnforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 09-Not valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit 1 it complaint in another PROGRAM jurisdiction, Have Complaint Record and P/B updated <br /> Forwarded to UNIT: I ![ III IV for Investigation <br />