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IUii - '�' SAN JOAiUUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : CAROLDL Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> CQMPLAINT # = C0012265 Program/Element : 4004 <br /> Taken by : 2768 DRISCOLL Date: 05/19/99 Assigned to : 0321 OLIVEIRA Date: 05/19/99 <br /> Fac TD . <br /> BILL to inventoried FACILITY: <br /> (Must have FACILITY ID#) <br /> <br /> : <br /> FACILITY LOCATION%Property Info <br /> DBA o. +n, brESEL 7-944t-K- S6Rwrc-ELoc Code <br /> ...._.... ..........._... <br /> BOS Dist <br /> APN # <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Narrio : _ CA41- ScMA-7-2- Home Phone- <br /> AddressWork Phone <br /> C it <br /> Nature of Complaint: <br /> PiVSSIBLE DOG KENNEL WITH NO PERMIT . — ✓Gr��l�o( b� eFf,6 3S doSS <br /> COMPLAINT Info <br /> COMPLAINT MODE: C COUNTS, <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter ; -Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS 0-7 <br /> 01-Field Abated 02-Office Ab03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07 efer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> � , real Ler�ter ent a; � Datc : <br /> eccopriate Unit k if comclaarit in another PROGRAM Jurisdiction, Have Complaint Record and P,E updated <br /> orwarded to UNITS /i ) II I V :nuestiaation <br />