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Date run : 08/20/93 SAN JOAQUIN. COUNTY PUBLIC HEALTH SERVIC Report #5104 1 <br /> Run—by : ROSEMARY Page # ;, - 2:�.:� r <br /> Copy # � : 01 'of ,01 COMPLAINT INVESTIGATION REPORT (�s ' k { <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPtLAINT # : C0000535 Program/Element : 4000 '° '• l, L <br /> Taken by : 0519 ROSEMARY FLORES Date: 0b/19/93 Assigned to Date: 06/19/93 <br /> Facility Name: _ Fac ID: <br /> HILL to inventoried FACILITY: <br /> Location: 1320 N. MONROE, STKN (Must have FACILITY IDI) , <br /> Complainant: <br /> : } <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: PLYMOUTH PLACE Loc Code : 01 <br /> Address: 1320 N . MONROE BBS Dist : 001 <br /> City : STOCKTON APN # <br /> Phone: <br /> OWNER Info — BILLING Party: <br /> Owner/Agent : Home Phone: <br /> Address: Work Phone: ' <br /> City : _ <br /> Nature of Complaint: <br /> 60 APTS AT THIS SENIOR RETIREMENT HOME IS INFESTED W/ROACHES — <br /> r <br /> t <br /> i <br /> C <br /> 1 <br /> COMPLAINT Info — t <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: fffio!bated <br /> 01-Field Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness <br /> 4 <br /> F <br /> r <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />{ <br /> s <br /> r j, <br />