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le run ca.�it)4N JUAUUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : CAROLD Page <br /> Co # 1 <br /> Py # : 01 Of 0 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009768 Program/Element : 4800 <br /> Taken by : 0606 TREVENA Date: 02/11/98 Assigned to : 0606 TREVENA Date: 03/02/46 <br /> Hard copy Printed: <br /> Facility Name : MOSSDAL ETRA.T_L ERPARK, Fac ID: 0304,1.80_ <br /> BILL to inventoried FACILITY: <br /> Location: 10 W MOSSDALE,,,,_RP. (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: MOSSDALE TRAILER PARK Loc Code : 99 <br /> Address: 1.0.....W MOSSPALE...RD,., _.............................................._BOS Dist. : 003. <br /> . ....... . , <br /> City= LATHRQP. 95330 APN # <br /> Phone : 209-982-0358 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : MOSS nLE TRAILER PARK Home Phone : <br /> Address= 10 W MOSSDALE RD Work Phone: 209-982-0358 <br /> ........................................................_.._.__..............._.........._........_..._.........................................._...................................... <br /> City: LATHRO,P, C.A. 95330 <br /> Nature of Complaint: <br /> TRAILER PARK FLOODED , GAS) GARBAGE AND OIL IN THE WATER . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: ".R„NONE <br /> A-A ency Referral B-BD OF Supervisors/City Ccauncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: C' <br /> 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-Nat Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date: <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II 0 IV for Investigation <br />