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. , . ., i,-" , 1.' i "_CL-L�_ ReAort A 104 <br /> Ru,l by CAROLD` Page 1 <br /> C.caE:}y tk 01 Qt 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009166 Program/Element : 1322 <br /> Taken by : 0628 PRATER Date: 10/09!97 Assigned to : 0369 BIEDERMANN Date: 10/10/97 <br /> Nard copy Printed. <br /> Fd3 , :L1it.y Name = Fac IDP <br /> BILL to inventoried FACILITY: <br /> Location -iL i w't AVE S i-..,C KTON {Must have FACILITY IN <br /> .........................._......_........_..... <br /> CQUIPIai,Ickfft . .CHER.IFF.._.'...S....._DEPT...... <br /> ...._............................................................_......Home Phone- <br /> Add.1 eSZ Work Phone <br /> _..__...... ..._........._......._.............._......__............_....._. ...._......................................................._ <br /> FACILITY LOCATION/Property Info — <br /> . BA or Name• ......... Loc Code : <br /> Address ................_................._BOS Dist : <br /> APN it <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name = .......................Home Phone: <br /> Addy ess. Work Phone : <br /> City - <br /> latufe of C'ap:aiA. <br /> A .B . POS PED SUBSTANDARD STRUCTURE AND 4048 . <br /> COMPLAINT Info — <br /> � MKAINT MODE; PdTNE <br /> A-Age:„r R4vfi:;31 S•BD CF Supe visors/City Ccounci: C-Counter M-MaII/Correspondence <br /> 3-atter EH Unit P-Phone <br /> COMPLAINT STATUS. <br /> �.-F;e.o ;oaten '[-Offxce Abateo 33-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise Fite 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Ref'er-r a 1 L�-tt.er Sent by : Date : <br /> ircie appropriate Unit I if complaint in another PROCRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT. O II III IV for Investigation <br />