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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Z SHORT TERM COMPLAINT FORM <br /> INSPECTOR ID#: 5'340 Z COMPLAINT NO: <br /> PROGRAM: 131,5- FACILITY ID NO: <br /> TAKEN BY(iD#): `� ar+aca s e <br /> CROSS STREET: <br /> DISTRICT: S LOCATION: AP N: 2 I 17 v - 27 zip <br /> PREMISE ADDRESS: STREET# 65-99 rr716TREETNAME JA/ C1 <br /> C1TY <br /> DBA: <br /> LL C <br /> OWNERIOPERATOR: <br /> ---------- <br /> ADDRESS/TELEPHONE: <br /> COMPLAINANT NAME: <br /> ADDRESSITELEPHONE: <br /> COMPLAINT: pled <br /> Counter E Code En£orcernent (F)Fax(1)Internet/Finail (M)Mail/Correspondence (0)OtherIFHD Unit (P)Phone <br />' tA�LgencyBoard of Supervisors (C) ( ) <br /> (B) <br />