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Revised Repori. 15104 �/B/B3 ' <br /> Date run: 10/25/93 SAKI JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : CAROLINE Pae # 5 <br />` Copy # : 01 o; 01 COMPLAINT INVESTIGATION REPORT <br /> ��n�s�►�mr�+ ��r�rn�rnrnuKnsr� �rhrnr�rnr��hr �r�z�r�r�nr�►r�r�r�r��lMrrR�s�rn�► �r�s�r�r��?� f . <br /> COMPLAINT # C0000927 Program/Element 4 J0 <br /> s Taken by , (354 SYLVIA RARTINH Date: 10/25/93 Assigned to , (633 Date' 10/251�� <br /> Facility Name: TIO PEDES Fac ID: 002699 r • <br /> Bibiil to inventors <br /> t Location: 7920 LOWER SACRAMENTO (ilnst )ha" FACIGi <br /> Complainant.: <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: TIO PEPES Loc Code : 99 <br /> Address: 7920 LONER SACRAMENTO BOS Dist : <br /> f City: STOCKTON APN # ; <br />` Phone: <br /> F <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: CARMEN FLORES home Phone: <br /> Address: Work Phone: <br /> City: _ <br /> Nature of Complaint: <br /> COCKROACHES <br /> A <br /> 4 <br /> t COMPLAINT Info — <br /> 4 <br /> COPPGAiNT RODE: P PRONE <br /> i A-Agency Referral B-BG OF E nervisors./City Ccouncil C-Counter jl-yailjCorresparaence <br /> 4-tlttier EN Unit P-Phone <br /> COMPLAINT SYATH; <br /> 01-Field Abated 02-Office Abated 03-NAi Sent 04-Notice to Abate zs:,sed 05-Enfor£e ACT leitiated <br /> 06-Transfer to Prenin File 0'i-Refer to Otber Agency 0c-Not Valid 09-Foodborne illness <br /> ` Circle appropriate Unit if caplaint in another PROGRAM jurisdiction, Rave Complaint Record and P/E updated <br />