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Date run: 01/09/95 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run = CAROLINE`' Parse, # 1 <br /> # 01 of 01 COMPLAINT INVESTIGATION. REPORT ell <br /> COMPLAINT # = 00003157 Program/Element : 1600 <br /> Taken by : 0264 JIM MILLER Date: 01/05/94 Assigned to :1M Date: 01/05194 <br /> Hard copy Printed: <br /> Facility Name : ST C..KT N VERQEMn.t~?I!_E".._H ME:....P,RK Fac ID: 002643 <br /> ........_....._......__....... <br /> . <br /> BILL to inventoried FACILITY: <br /> Location: 49.... N H...IY 99 (Must have FACILITY ID#) <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: STOCKTON.._VERDE MOBILE HM Loc Code : 99 <br /> ..... <br /> Address : 490p...._N H_WY...._99........................ 805 Dist : 002 <br /> ..._............................................................... <br /> city : ST0LC_KT N. 95212 APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: MAN,DAR_T_�1.......I_NVESTMENT CORP Home Phone : <br /> Address: C/O....MGP...._JEAN.....LIEN................. :... ..._..,_,,;;.,:..._..._....._._....Work Phone: <br /> City: S/A <br /> Nature of Complaint: <br /> COOKING FOOD IN CLUB HOUSE KITCHEN/SELLING TO PEOPLE IN PARK/DO THIS <br /> 3-4 TIMES A MONTH ) ARE THEY I.EGAL? <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral 810 OF Supervisars/City CCOUnCll C-Counter M-Mail!Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Off. <br /> ................ <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer 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: I� II III IV for Investigation <br />