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Revised yReport'W04 t/g/93 <br /> �h <br /> i <br /> Date run: 20/25/93 SAN JOAQUIN CO€NTY PUBLIC HEALTH SERVIC Report' 4 <br /> Run by : CAROLINE Page „ � 4 <br /> k <br /> Copy : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> M1y1�11�fhfMMhfMh1�1M1�fM1�11 Y40 <br /> flwp f <br /> COMFLATNT # 00000926 Program/Element :rake:: by : 211b CAROLINE NkSCII<[H10 [ate: 10/2Fr`93Assigned to ; G633 r'.t�_ : : Gate; to Q <br /> ;Facility Name: TIO PEPES Fac ID:. 002699 <br /> BILL to inventoried FACI .fi°' <br /> Location: 7920 LOWER SACRAMENTO (Rust have FAC[Li'TY <br /> Complainant: <br /> <br /> <br />' FACILITY LOCATION/Property Info — <br /> DBA or Name: TIO PEPES Loc Code 99 <br />{ Address: 7920 LOWER SACRAMENTO BOS Dist <br /> City: STOCKTON APN <br /> Phone: <br /> i <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> t Name: CARMEN I:LO ES Home Phone: <br /> Address: Work Phone: <br /> City: _ <br /> Natare of Coapiaint: . <br /> 20/24/93 — COCKROACHES — CUSTOMER NEXT TO HER TABLE WAS KILLING THEM <br /> ON WAL—CRAWLING ALL OVER WALLS, TABLES, <br /> f <br /> V <br /> COMPLAINT Info — <br /> CONPLAiNT RODE: P ROE <br /> A-Ageacy Referral R-[}G OF WervisorslCity CCOOncil C-Ccnrter k-Rail Correspondence <br /> e O-Other Es. Ur:it F-Phone <br /> CORPLAINT 5TATUS: <br /> 0I-Field Abated U-Office Abated 03-HAi sent 04-Notice to ,bate Issued . H-Enforce ACT initiated <br /> 06-Transfer to Pregise File 07-11efer to Other A;ei,,q 0H-Not. 1and W-Foodborne illness <br /> 4 <br /> k <br /> Circle appropriate Unit ii if eoepiaint in another FRGSRAR jurisdiction, Rave �soapiaint Record a:d PIE updated <br />