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Date run: 08/26/ 8 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 Run by = MARYq Page ## 10 COPY # : 01 of 01 COMPLAINT INVESTIGATION REPORT COMPLAINT # 00010887 Program/Element 3611 Taken by : 9051 OSULLIVAN Date: 08/26/98 Assigned to : 0740 ASKANAS Date: 08/26/98 Hard copy Printed: 08/26/98 Facility Name: QUINCY„,, GARDENSAPARTMENTS, Fac ID: 00.1520 BILL to inventoried FACILITY: Location: 221_..._.............QU_I_NCY. (Must have FACILITY ID#) Complainant: FRANK_... ..... . .... Home Phone: Address: ..... ..._........._......_......_......._............_._._. ............................W o r k Phone- ................ ? '1 FACILITY LOCATION/Property Info — DBA or Name: QUINCY.„_,GARDENS_...APARTMENTS„,,,,,_..............._.......__......_.__...._...._.....................................,......_Loc Code : 0_1, Address= 221QUI_NCY„-.. ...__._.___...__.__.__.......................... 805 Dist : City: STOCKTON 95207 APN # Phone: 209-474-2749 BILLING RESPONSIBLE PARTY or OWNER Info Name : S T E A R NS„: JOHN _-_,__.__....__-.__.__..._.._.__._.._...._._.............................._............-_Home Phone: Address: 1169 _ COUNTLESS CT .__.._.__....._.._._....._.....___.-._--__._ ........._._.._._.__._Work Phone: 209--474-2749 City: SAN _JOSE CA 95129 Nature of Complaint: POOL HAS GREEN ALGEE ON SIDES OF 3-4 FOOT DEEP AREA w i COMPLAINT Info — COMPLAINT MODE: A-Agency Referral B-80 OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence 0-Other EH Unit P-Phone COMPLAINT STATUS: if 01-Field Abated 02-Office Abated 03-NAI Sent 04- Issued 05-Enforce ACT Initiated 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness Send Referral Letter to: Address: Referral Letter Sent by : Date: { Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated �1 Forwarded to UNIT I II III IV for Investigation ,