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Date run~ 09/02/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by CAROLC� Page # 1 <br /> COPY .# 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : COO1O923 Program/Element 4300 <br /> Taken by : 0149 BORGES Date: 09/02/98 Assigned to : 0102 MINOT Date: 09/02/98 <br /> Hard copy Printed: <br /> Facility Name: SAHARA.._MOB LE COURT Fac ID: 00174 } <br /> BILL to inventoried FACILITY: <br /> Location: 2340,.,_,__._SANGU_r_NET7,I . LN {Must have FACILITY 101} <br /> Complainant: <br /> <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: SAHARA MOBILE COURTLoc Code : 99 <br /> Address: 2340 SANGUINETTi LN BOS Dist : 001 <br /> City: STOCKTON 95205 APN # <br /> Phone : 209--464-9392 ; <br /> BILLING RESPONSIBLE PARTY or OWNER Info Name ; D E NH 0 Y„._....B....._S_.__...._.._._-._.__.._ _.__.___..._..._...................-....................._..:.._...._-._._..._.......__.Ho m e Phone: <br /> Address: 2669 CASALINO CT Work Phone: <br /> W....._._._._.._.__......._..._......w...__......_._._._..._.__.................,......................_._............_._......,.._......__..........__............_............_ <br /> City: PLEASANTON CA 94566 <br /> Mature of Cosplaint: <br /> NO WATER . a <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <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 /> O1-Field Abated 02-Office Abated 03-HAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent. by: Date: <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />