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Date run: 02/09/9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : KAREN r Page # 11 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # CO009650 Program/Element : 4200 <br /> Taken by : 6519 DISA Date: 02/04/98 Assigned to : 9374 GODINHO Date: 02/09/98 <br /> Bard copy Printed: <br /> Facility Name: LUCKY J DAIRY Fac ID: 003449 <br /> BILI, to inventoried FACILITY: <br /> Location: 22261 S . PATTERSON PASS RD (!lust have FACILITY ID#) <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: LUCKY J. DAIRY Loc Code : <br /> Address : 22261 S PATTERSON PASS RD BOS Dist : <br /> City: _ 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 /> MANURE & URINE RUN INTO THE STREET FROM THE DAIRY WHEN IT RAINS . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency leferral B-BD OF Supervisors/City Ccouneil C-Counter N-Ilail/Correspondence <br /> 0-Other EB Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-lefer to Other Agency 09-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit I! if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 10 11I IV for Investigation <br />