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Date r,un: 01/29/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 3 <br /> Run t."NKAREN <br /> Copy '# 01 of w COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0009602 Program/Element : Ii2G <br /> Taken by : 3399 ARMSTRONG Date: 01129199 Assigned to : 0740 ASEANAS Date: 01/29/9$ <br /> Hard copy Printed: <br /> Facility Name: JAMAR SERVIC_F.. Fac ID: 00212]. BILI, to inventoried FACILITY: <br /> Location: 4-075 -F. MAIN ST . STOCKTON (Unst have FACILITY iDP1 <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: JAMAR SERVICE STATION -------- _ _Loc Code : <br /> Address : 4075 E MAIN ST 1305 Dist . <br /> City: S.TOCKTON APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : _ _ __ Home Phone : <br /> Address : Work Phone : <br /> City: _ <br /> Nature of Complaint: <br /> 1 THE OWNER & EMPLOYEES ARE SMOKING IN THE WORK PLACE. <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF S�apArvisors/City Cceucil C-Counter N-flail/Correspondence <br /> O-Other EH Unil ?-Phone <br /> C(UPLAINT STATUS: <br /> O-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Nol Valid 99-Foodborne Illness <br /> Send Referral Letter to: <br /> Address : <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit t if complaint in another PROCRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forvarded to UNIT: (% II 111 IV for Investigation <br />