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Reviewed by: Date: <br /> ,Complaint Record Updated By: Date: <br /> Revised'Report 1504 7/8/93 ' <br /> s <br /> i <br /> A, ) f <br /> I <br /> Date run: 08/25/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC� Report 4.5104 <br /> Run by : SYLVIA Page # 4 t <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT 11# <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM I <br /> COMPLAINT # C0000556 Program/Elempntd : 1600 j <br /> Taken by : 7354 SYLVIA MARTINEZ Date: 08/25/93 Assigned to y Date: 08/25/93 <br /> t <br /> Facility Name: _ Fac ID: <br /> -7 q,2,0 BILL to inventoried FACILITY: <br /> Location: -4-4#f7- LOWER SACRAMENTO RD -+-� (Must have FACILITY I04) <br /> i <br /> Complainant: <br /> <br /> <br />} FACILITY LOCATION/Property Info — <br /> z <br /> _-.7 9,k F <br /> DBA or Name: TIO PEPE ' S Loc Code 01 <br /> i Address: -A4LOWER SACRAMENTO RD BOS Dist 002 <br /> City: STOCKTON 95210 APN # <br /> r <br /> Phone: 9,5-7 6 q 3 1 <br /> OWNER Info — BILLING Party: ______ <br /> Owner/Agent: Home Phone : <br /> Address: Work Phone: <br /> City : _ <br /> Nature of Complaint: <br /> — .2PM 8/25/93 COCKROACHES — <br />� r <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE ' <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence ' <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> -01 <br /> 01-Field Abated 02-Office Abated 03-NAI Seat 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> d 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> r <br /> i <br />