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Bate run: 08/27/98 N JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 Run by CAROLD4,.1w Page # 1 Copy-' # : 01 Of COMPLAINT INVESTIGATION REPORT COMPLAINT # : C0010898 Program/Element 4600 Taken by : 6519 RISA Date: 08/21/98 Assigned to : 0102 MINOT Date: 48/27/98 Hard copy Printed: Facility Name: SAHARA_ MOBILE,COURT Fac ID: 001744 BILL to inventoried FACILITY: Location= 2340___- SANSUI_NETTI._.-_LN {Must have FACILITY IDC Complainant: FACILITY LOCATION/Property Info — DBA or Name: SAHARA MOBILE COURT Loc Code : 99 _.._....__..__..._.. --....----............_...._._..........._.-_..................__.....---._......_...._..._......--.--._._......._........_.......__.. _......_.._-_..._.�......_... __..... Address: 2340..._SANGU_INETTI.__�.-N-......__...._...._._........._._..._._.__....,.._..._.__......__..._.__._....__._....---.,_......__BOS Dist : 00,1_ City: STOCKTON 95205 APN # Phone : 209--464-9392 BILLING RESPONSIBLE PARTY or OWNER Info — 0 Name: pENHOY.,._.__B....-S_.-.....................-._...._...-..........._._................_.............._..................M._.................Home Phone: Address: 2669 CASALINO CT Work Phone: City: PLEASANTON CA 94566 Nature of Complaint: WATER HAS BEEN OFF FOR 5 DAYS DUE TO BROKEN WATER PIPES . WATER HAS BEEN SHUT OFF BEFORE BUT NOT FOR THIS LONG . WE HAVE HAD TO GO TO A MOTEL FOR SHOWERS . �7 i COMPLAINT Info — COMPLAINT MODE: P PHONE A-Agency Referral B-BD OF Supervisors/City Ccauncil C-Counted M-Mail/Correspondence j 0-Other EH Unit P-Phone COMPLAINT STATUS: 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate 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 I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated ForWarded to UNIT: I III IV for Investigation p