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Du . 7/�5 <br /> Run RY SAN JOAQUTN COU -�TY P �8LIC HEALTH SERVZC Qewrt15104 <br /> by <br /> - V~v� PaQe � 2 <br /> CopyO1 001 COMPLAINT INVESTZGATZON PEP0RT <br /> Tanken.by . 0843 MICHAEL COLLINS <br /> Hard copy Printed: 06/2//95 Assigned-- to `~~ MICHAEL= COLLINS vot:' 06/27/95 <br /> Facility Name : Fac IO: <br /> Location. LDWFA '5BILL b inventoried FACILITY' <br /> A�AR4/KFTTLEMAN (Must have FAClLITY l001 <br /> ' ---- <br /> Complainant - <br /> : <br /> FACILITY LOCATION/Property Info - <br /> D8A or Name' <br /> ' � -- _�- Loc Code : <br /> Address: '-----' - -- '' �� <br /> ' __- - �_ /8OS Dist � <br /> Clty ' — <br /> _ #PN # � <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name : <br /> _ - __- Home Phone' <br /> Address` ' --- <br /> ' ____ _ _ __. 1Work Phone-" <br /> City � <br /> Notx,o <br /> PRODUCF STAND OpERAETZNG WITHOUR A PERMTT <br /> COMPLAINT Info - <br /> � <br /> COMPLAINT MODE: x��_�� <br /> -OTHEK [HUNQT <br /> 4'Agvory Hvfvnal 8-8D OF Stpmviaom/City Cmunoll C-Counter N'Mail/Cof'wnpondonw <br /> U'0thor EH Unft P-9hono <br /> ' <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02'Office Abated 03-,NAI semL 04'N Abate Issued. 05'Enforon ACT 'T�"iated <br /> 06-Transfer to Premise File 07-Refer to Other Agency /0& Not Valid 093—Foodborne <br /> Illness <br /> Cir:le a-rprom,niatp Urlt 4 If complaint in amthm PROGRA% juniodicdon. Have Complaint koco d and PIE updated <br /> Fmwm/dmj to UNIT: II TD Y for lmestiQabuo <br />