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mate run: OZ/1`1/98 SAN JOAQUIN COUNTY PUBLIC REAL-Ell NEKV ft, sport tauq 2 <br /> Run by : GAROLDf <br /> Copy # : 01 of 01 # <br /> COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT tit : C0009687 Program/Element : 4200 <br /> Taken bl : 0997 KNOLL Date: 02/17/98 Assigned to 3497.4441#tt— ate: 02/17/99 <br /> Hard copy Printed: M INN <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 2420 W. GRANT LINE RD TRACY (Must have FACILITY IDI) <br /> Complainant : <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code : <br /> Address : 2420 W GRANT LINE RD BOS Dist : <br /> City: TRACY APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: 11 C ____Home Phone: <br /> Address : Work Phone: <br /> City: — f�� f�3�C J 2.O <br /> 019" 9S a2l()1 <br /> liatnre`wf-toyplaint: <br /> SURFACING SEWAGE ON WEST SIDE OF STORE IN PARKING LOT. <br /> p ,'a L <br /> r <br /> COMPLAINT Info — <br /> COMPLAINT MODS: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other BB Unit ?-Phone <br /> COMPLAINT STATUS: Ems" <br /> 01-Field Abated 02-Office Abated 03-NAI Sent OM-Not' ted 05-Enforce ACT Initiated <br /> OG-transfer to Premise File 07-Refer to Other Ag-enO8-Not Valid 9-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forvarded to UNIT: 1 Q> III IV for Investigation <br />