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whit' .;Q"wvllN uUU1N 1 Y PUBLIC HEALTH SERVIC Report 15104' <br /> Run by : CAROLD Page # 1 <br /> Copy # : 01 of 01 GOMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0011,140 Program/Element : 4443 <br /> Taken by : 3973 MCCLELLON Date: 10/15/98 Assigned to : 3973 MCCLELLON Date: 10/16/98 <br /> Hard copy Printed: <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 153Q0.......5_..MG....._K_I,NLE~Y (Must have FACILITY ID#) <br /> Complainant: _ .Home Phone: <br /> .._._............_._....................................._....._.._.................._..............._........__................................ . <br /> Address = Work Phone : <br /> LA,THROP. CA <br /> FACILITY LOCATION/Property Info -- <br /> DBA or Name: ROD MC LELLQN........................ _. <br /> Loc Cade <br /> Address' 15300......C.. MC.._.K_INLEY AVE......... <br /> ............................... <br /> _............ BOS Dist : <br /> city: .................. <br /> LRTHROP 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 /> COMPOSTING FACILITY , OPERATING WITH OUT PERMIT . <br /> COMPLAINT Info -- <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-8D OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: ..,, <br /> 1 e Ab 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob- er to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit D if complain n another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> FOTwarded to UNIT: I II III IV for Investigation <br />