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r uxs Report #Siad <br /> 09/26/97 SAN JOAQUIN COUNTY PUBLIC: HEALTH SERVIC <br /> Run by : CAROL Page # 1 <br /> Copy ## : 01 Of Ol COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT :_' 0009085 Program/Element ' <br /> 'aken Uy . 3304 ARMSTROI Date: 49/26/97 Assigned to : 0843 COLLINS Date: 09/25197 <br /> Hard copy Printed: <br /> Facility Name : PORT....._OF_.._STOCKTONFOO..........QzST Fac IS: 003.547. <br /> . ...._ _ . _ <br /> BILL to inventoried FACILITY: �...� <br /> Location: '0. }nF.._.F_R NONT.._ .T (Must have FACILITY IDS) <br /> Complainant: ANONHorne Phone : <br /> _...................._........................._.................. <br /> _ .........._ -........_..._._......._..._._...._ _.. <br /> Address: Work Phone- <br /> ......................................_. <br /> FACILITY LOCATION/Property Info — <br /> DSA or Name: PORT OF STOCKTON FOOD DISTLac Cade : 01 <br /> Address -, 2001 E FREMONT S ._.. BCS Dist <br /> . City- STOCKT_QN 95205 APN # <br /> Phone : 209-948-2818 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name ' PORT OF STOCKTON FOOD DISTHome Phone: <br /> .......... <br /> Address: POSOX 30 Work Phone : 209-948-18 .8 <br /> ..._........................................_................................._...._......__._._.. ... .._.........._...._._........................ <br /> City : STOCKTON CA 95201 <br /> Nature of Complaint: <br /> SEWAGE IS SURFACING IN THE LREA/R' OF LTH(E' WAREHOUSE AND GOING INTO DRAIN . <br /> L13 v 3 Cf Fr[mvti7- Sf. <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral S-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> 0-Other EH UT.it P-P <br /> COMPLAINT STATUS: a <br /> J�D <br /> ::-Field Abated 02-0,f4ice 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 Illn.ss <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date : <br /> Circle appropriate Jcit if complaint in another PROGRAM jurisdiction. Have Complaint Record and PIE updated <br /> Forwarded to JNII: II III IV for Investigation <br />