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€f <br /> 1� <br /> !d <br /> ;Date run: 12/02/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 115104 <br /> ;Run by SYLVIA Page A 17 <br /> !i Copy p : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> '�MMMAIMMMMMMMMMMMMMINMMMlNM11MMMMMMMMMMMMMMMMMMMMMMMMIyIMMMMMMMMMMApMMMMMMMMMMMMMMMMMMM ' <br /> €!COMPLAINT a : C0001114 Program/Element 4400 <br /> l:Taken by 7354 SYLVIA MARTINEZ Date: 12/02/93 Assigned to 0321 GREG OLIVEIRA Date: 12/02/93 <br /> ,Facility Name: TWIN OAKS MOBILE PARK Fac IDz 004330 <br /> BILL to inventoried FACILITY: <br /> .Location: 11303 Ny'HWY 99 1162 (Must have FACILITY ID#) <br /> ,:Complainant: <br /> <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> .�ta.0 IT74 aRaoK'-s <br /> !? DBA or Name: TWIN OAKS MOBILE HOME PARK 062 Loc Code 02 <br /> €1 <br /> Address: 11303 N HWY 99 BOS Diet : 004 <br /> City: LODI 95240 APN S <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> �� Name: Home Phone: <br /> f Address: Work Phone: <br /> City: _ <br /> �i <br /> Nature of Complaint: <br /> - DOG, DROPPING ACCUMULATION - SECOND COMPLAINT - <br /> A <br /> r <br /> .y <br /> !F <br /> Ej <br /> f+ <br /> COMPLAINT Info - <br /> �f COMPLAINT MODE: P PHONE <br /> E� <br /> 4 A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone , <br /> COMPLAINT STATUS: �I <br /> 01 ield Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> { <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> .i <br /> t <br /> n <br /> i <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> �I <br />