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Date run: 03/27/08 SAN JOAQUIN COlJNTY PIJBLIC HEALTH SERVTC Report #5104 <br /> Run by : CAROLD� Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMP'J!'11�IM��INJNJJ�'1MNJP�t�1!'9MMMMNIMMMMMNJMMt�'JMNII�JM1ylMt''INlMP7'ty11�'JP�IMP7NlNlM.P'I�'ll'��'11y1P't+'�NJP'1h'INJP9�'�NIMNI�'!M <br /> COMPLAINT # = C0009948 Program/Element : 1320 <br /> Taken by : 0369 BIEDERMANN Date: 03/27/98 Assigned to 0843 COLLINS Date: 03/27/98 <br /> Hard copy Printed: 03/27/98 <br /> Facility Name: Far.- TD: <br /> BILL to inventoried FACILITY: _ <br /> Location: ?111 N , F STRF-FT (Must have FACILITY ID# ) <br /> Complainant. : ALAN.__B_I_EDF"RMANN Home Phone : <br /> Address: Work Phone : <br /> STOCKTON CA <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Loc Code : <br /> Address : 3111 N E ST BOS Dist : <br /> City : STUCKTO.N. APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name : Home Phone: <br /> Address: Wark Phone : <br /> city : <br /> Nature of Complaint: 7> <br /> / 7> <br /> SUBSTANDARD HOUSE <br /> ei,J lees <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: e <br /> 01-Field Abated 02-Office 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 Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : � . _..__..-.- _._ Date : ._..._.. <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 9 II III IV for Investigation <br />