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Date run: 06/21/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC F� Report 15104 t <br />' %rr'-b�, : ROSEMARY Page # 1 <br /> Copy # : 01 of 01 <br />' MMM�MMhtMMMMMMMMMMMMMMMMMMMMMMMMMMMMM�IMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM ' <br /> CMPL�INT # COb00133 Program/Element 3600 <br /> Taken by: HARLIN KNOLL Date: 06/21/93 Time: 11 : 10 : 46 <br /> Assigned to Date: 06/21/ 3 Time: 11 : 10 : 46 <br /> Facility Name : Fac ID: LLing Party: Y / N <br /> Location: 221 QUINCY <br /> 4 COMPLAINT Info - F <br /> Complainant: <br /> : <br /> I' <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : <br /> Loc' Cade 01 <br />`. Address : BOS Dist : 0002 <br /> City: APN # <br /> Phone : BILLiag Party: Y j N <br /> OWNER Info - <br /> Owner/Agent: Home Phone : <br /> Address: Work Phone: <br /> City: , BILLiag Party: Y j N a <br /> .Nature of Complaint : <br /> WATER IS GREEN - HK RECVD COMPL VIA S. J. GENERAL OLGA) AND RETURNED <br /> CALL DURING E.R. WEEKEND STANDB ' <br /> r <br /> t <br /> F <br /> k <br /> INVESTIGATION REPORT <br /> DATE BY DISPOSITION <br /> f ��p �g <br /> / � li.! +'r� ` V yip• <br /> - r <br /> 4 <br /> Service Code : Action. Code: Result Code: <br />