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Run {� Pao, # _ <br /> 1 'Df 1 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0008715 Program/Element 2200 <br /> 'a.,er by . 1053 YOSHIOKA oat?* 7/_4/17 AssiQne� to ?96@ Vn^-WTOKA (lata. ,1',1%19• <br /> ❑ard o^ay Ori�tad: 08/04 10-7 ._ <br /> ac it its., Name Fac ID : <br /> ITIi tr inventoried =?CIL_Ty: <br /> Location: 76rK TONE Pr AC NOPTi4 097 llv,CTCI( (MlLrjt have GAfTI TTV T[l#) <br /> Dmplainant : COOK ( OES ) ___.__Home Phone : <br /> Address: 4 6 81—3 9 69..............._....._.........._.._...._........._......__ ._.___._........._.___......_....__...._._...._Work Phone -. <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : CHUCK_.._HANK-S..._.........__._......_.__.....-.........._........_.. _-- ..................... ...L,Wc Code <br /> AddressBOS Dist <br /> Cit)/ : STOCKTON 95201 APN # : <br /> Phone - <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone: <br /> Address ' i.I„r !. ohnne <br /> T •,a -'�” 71- <br /> M­ i 1 v-c l ease . <br /> COMPLAINT Info — <br /> COMP!ATNT MODE <br /> ................ <br /> A-Aaency Peferrai 5-3D OF Supervisors/.City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unii o=Phone <br /> rOMPiAINT STATUS: 0) <br /> ^ --ield Abated 02-Office Abated 03-NAI Sent 04-4otice to abate _ssaed O5-Enforce ACT Initiated <br /> O1 _-.ans,er to Premise File n7-9efer to Other Agency QA-NOt valir All-Foodborne Illness <br /> Send Referral Letter to : <br /> Address: <br /> Referral Letter Sent b" Date : <br /> f irrla appropriate Unit rt it rn!oolaint in gnnttior PROGRAM iir;sdlct'on. Have Comp!2:nt Record an� 0.X iindateC <br /> .':carded to :!NTT• _ -T TV tnr Tnyoctinatinn <br />