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r <br /> Date run: 01/10/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 bzx Run by :.SYLVIA Page 0 2 <br /> Copy 4 : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMhIMMMMMMMMMMMMlNMMMMMMMMMMMMAJMMMMMMMMMMMMMMMMMMMMMFIMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT S : 00001278 Program/Element : 4200 <br /> Taken by : 0756 CAROL OZ Date: 01/10/94 Assigned to : 0321 OR OLIVEIRA D te: 01/10/94 <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 11303 N HWY 99 FRONTAGE (Must have FACILITY IDO) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name: TWIN OAKS MOBILE HOME PARK Loc Code 02 <br /> Address: 11303 N HWY 99 BOS Dist 004 <br /> City: LODI 95242 APH 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: KEIJI FUJINAKA Home Phone: 209-369-3326 <br /> Address: 2016 E ARMSTRONG RD Work Phone: <br /> City: LODI CA 95242 <br /> Nature of Complaint: <br /> - SEWAGE COMING ONTO LOT FROM SEPTIC SYSTEM REPAIR - <br /> COMPLAINT Info - <br /> COMPLAINT MODE: 0 OTHER EH UNIT <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: C` <br /> pi- ield Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 6-Transfer to Premise File 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit N if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 I 111 IV for Investigation . <br />