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Date run= 10/1.6/9 6 SAN JOAQUIN COUNTY PUBLIC HEALTH SFRVIC Page #04 2 <br /> Run by r KAREN/V O <br /> copy # 01 of 0i COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # - = C0007045 Program/Element - <-7 <00 <br /> Taken by : 0008 LETITIA BRIGGS Date: 10/16/96 Assigned to : 0008 LETITIA BRIGGS Date: 10/16/96 J <br /> Hard copy Printed: <br /> Facility Name Fac ID <br /> BILL to inventoried FACILITY <br /> Location= 5G0,.,._N....._....HUNTER. (Must have FACILITY ID#) <br /> Complainant= <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name= Loc Code r <br /> Address: ........80S Dist = <br /> city = APN <br /> Phone= <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name:• Home Phone= <br /> Address: ................. ...Work Phone= <br /> City . <br /> Nature of Complaint; <br /> UNREGISTERED UST ON SOUTH SIDE OF THE BUILDING NEAR HUNTER STREET . - ` <br /> COMPLAINT Info <br /> COMPLAINT MODE: PPHONE <br /> ................ <br /> A-Agency Referral B-BD OF Supervisors/City CCOUnCil C-Counter M-Mail/Coy respondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: .0.49 <br /> 01--Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob- ransfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 III IV for Investigation <br />