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'-•"` `��Oate' run: 03/23%94 SAH :JOAQ4IN�CQIINTYF PIlBLIG-'HEALTHY 3ERVIC'"`�""Reporf-i�S104"-"` " -' ' `• � --`��' <br /> w"J Run by : -SYLVIA Page 0 1 <br /> Cody #w:':A1 of 01 COMPLAINT INVESTIGATION REPORT . <br /> MMMI��AfMMMMafMMAIMMMMMlIMMMMMMMMMMMMMMMFtbIP/MMMMMMMMMMMHMMMMMMMMMMMMINMMAfMMM <br /> Sr,_CWLAINT S : 00001590 Program/Element 2500 <br /> Taken by : 0997 HARLIN KNOLL Date: 03/22/94 Assigned to 0 HAR !(NOEL Date: 03/22/94 <br /> Facility Name: WATERLOO ELEMENTARY Fac ID: 002499 <br /> BILL to inventoried FACILITY: <br /> Location: 7007 PEZZI (Must have FACILITY IDO) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - 0 <br /> 4 `—/,� <br /> DBA or Haute: WATERLOO ELEMENTARY SCHOOL Loc Code 99 <br /> Address: 7007 PEZZI BOS Dist 004 <br /> City: LINDEN 95236 APR 8 <br /> Phone: 209-931-0818 <br /> BILLING RESPONSIBLE PARTY or OMNER Into - <br /> Name: LINDEN UNIFIED SCHOOL DIST Home Phone: <br /> Address: 18527 E MAIN ST Work Phone: 209-931-3160 <br /> City: LINDEN CA 95236 <br /> f <br /> Nature of Complaint: <br /> - TEACHER AND CUSTODIAN EXPERIANCED ILL EFFECTS FROM UNKNOWN SUBSTANCE <br /> FROM 4 ROOMS ON SOUTH SIDE OF BUILDING - <br /> a <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> r <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: ' <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-Refer to Other Agency OS-hot valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I iI III IV for Investigation <br /> n.ra• nR/22i94_ <br />