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uclLocu NCPUL L fV illy (f of id <br /> Y <br /> Date run: 11/09/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Resort 151C4 <br /> Run by : CAROLINE Page u 4 <br /> Copy 4 : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMM7�hfMM'�1h1h1.�fMhfh�ihfhlMMhfhfMMhiMhfMMhfMh1MM.�fM,�IhfMMhlt'�fMMlefryf�lhfhfAfMMMhlMhfMMM_f�fMM1fMh1.+►IM�LhIhfMl�fMhfl��1 fh1 <br /> COMPLAINT # : 00001.009 Program/Element : 1.600 <br /> Taken by : 2115 CANLINE NASCINENTt nate; 11/09/93 Assigned to : 0033 y:,' ii;> , Date; 11/09/93 <br /> Facility Name: B , G, �Kl,�;�lq4 Fac ID: 002399 <br /> BILL to inventoried FACILITY: <br /> Location: 6393 PACIFIC AVE !gust have FACitITY 1W - _-- <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Do Pepe Loc Code 99 <br /> Address: 7920 Lower Sacramento BOS Dist <br /> City: Stockton 95207 ApN 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: Carmen Flores Home Phone: <br /> Address: 7920 Lower Sacramento Work Phone: <br /> City: Stockton CA 95207 <br /> Nature of Compla_nt: <br /> baby cockroach crawling across table - ate on 11/7/93 @ 1:30 pm <br /> COMPLAINT Info - <br /> C6!IPLAINT VIDE: P PHCNE <br /> �-Agewcy Referr?1 8-60 !]F 'iuperuisorsiGitp Ccauncil C-Counter id-Uai±i Corresaor.dence <br /> 0-0ther EF Unit P-Phone <br /> C0FP[,0T SWAT'S: <br /> 01-Field Abated u?-Office Abated 03-NAI Sent 04-Native to ,Abate Issued N-E'nforre Al! 'Initiated <br /> 011-Transfer to Precise File 01-Refer to,Otter Agency 08-Hot F,lid 09-Foodborne illness <br /> Circle appropriate Unit I if coaplai^t lIl aPotll£r PRLIGRAM arisiictlon, $aPe Coiplain, Record %id PIE upiated <br /> 3 <br />