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Date- lukn: 06/24/97 SAN IOA2UIN COUNTY PUBLIC HEALTH SERVIC Repott 05104 <br /> Rcc.n by : KARENAfo <br /> Copy # : 01 04 01 COMPLAINT INVESTIGATION REPORT Page. # 18 <br /> C17MPLAINT # C0008486 <br /> Taken by : 65f9 CAROL DISA Date: 06/14/97 Pnagnam/Ete17 : 4000 <br /> Hud copy Painted: Aaeign¢d to : 9001 LINDA TURKATTE Date: 06/14/97 <br /> Fa,e-i-2�..ty Name: - Fac I D: <br /> Locat.lon: 23441— E. RIVER _ROAD , ESCALON BILL to inventuied FACILITY: <br /> ( <br /> <br /> <br /> : <br /> FACILITY LOCATION/Pn,opejty In4o - <br /> DBA on Name: <br /> Add&"-s: - ---- Loc Code <br /> SOS Di--6t : <br /> Phone: <br /> BILLING RESPONSIBLE PARTY oar, OWNER Indo - <br /> Name: <br /> Addn."-s: -- --- ------Home Phone: <br /> - <br /> city: -- <br /> UlOn,h Phone: <br /> — ------- <br /> Natuae of Coffiplaint: <br /> The oW nen, t,!� -bp Le.&d4-ng ch-i.cken man L ue and not- doh i.ng . <br /> COMPLAINT Irt4o - <br /> COMPLAINT MODE: P PRONE <br /> A-Agency ReietkaP B-BD Of Supea.uieoulcay Ccounc.i,l C-Countea M-Mai,tICoaaeepondenee <br /> 0-Otket EN Unit P-Pkone <br /> COMPLAINT STS ! 0j <br /> 9 ��ld Abattl �i-Qj�aeQ Abated 03-NAT <br /> Otke� A ene4 Not0leNot Valid to Abate, Ia�u0ed 9-Foodboa.n¢otu ACT t8lneaa In�.tiat¢d <br /> atnt4be Ftile 11 RejeA to ! 9 <br /> Send R e.6 enh a-t Ll, - <br /> Add&"A: <br /> R e�en.na-2 L¢sten. S b y <br /> Date: <br /> ri4C�4 appl,Opniate, Una w it eompl.ai.nt in anotkea PROGRAM juAiedi,otian, Have CompPai,nt Ptc-O d and PIE updated <br /> fewa,Rded to UNIT: V It III IV Jon In.ueaagat�on, <br />