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-� ni �r.iT r t jP1_I(. HEALTH "EpyTC Report #5101 <br /> r- . P Page # 1 <br /> Run !:-y = KAREN <br /> Cc�nv # 01 of 01 COMPLAINT T.NVE`-TIGATIOhd REPORT <br /> NfM+"r;'�t�I1'AMM+`!t�,uNULt,L!MMt'�1'?MM/7MM;w!`1M.M,vi,wr, f'�F�P'rl`It�1M±Wt��l�r�!�"Nr,�n,yl�tMl�l rylP'�'IP rA�1�t1`JPJ+�fl'1!'!M!"IP11`1P11�fM <br /> Program/Element 2547 <br /> COMPLAINT # = C0008089 c Assigned to :,4 i9 MICHAEL KITH Data: 04/24/97 <br /> Taken by : 0418 MICHAEL KITH Date: 04/24/1 <br /> Hard copy Printed' <br /> Facility Name ' Fac ID= <br /> ?ILL to inventoried FACILITY <br /> Location= 'BC.0TRC_Y..__Bl_'JC;.�_._T_F< CY <br /> !Must have FACILITY IDq! <br /> ._...._Home Phone : 2Q`?-831-472Q <br /> ComplainantCHRL.�T...... MARTIN._,__...._._........___....._._......._...__......__. Work Phone: 209783,1..74720. <br /> Address ......_.. ._ <br /> TRAt�Y F-I_RE U�PARTMENT ._.._.... ..........._. <br /> TRACY CA <br /> FACILITY LOCATION/Property Info - <br /> Loc Code <br /> DBAor Name : ........._.__....._.__._._................ .__..... ._..._.....______..._.__._.................._.__._.....___. B O S Dist <br /> Address: .......__. _. _.__.__-. --_. _...._._.........._._._..._..... A P N <br /> _---.....__.__....._.._.._._..._._._..__ _.. ...._-- <br /> City = <br /> Phone = <br /> BILLING RESPONSIBLE PARTY or OWNER Info - Home Phone: <br /> ................................._.........._.. <br /> Worl< Phone , <br /> Address : ....._...... _...._..._.. ._......._..................................._....._._..._.-..._...._ - ._.._....._.._ <br /> rlt;, - _-_ <br /> Nature of Complaint. THROAT NOGF_ IRPITATTON . POSSIBLY <br /> 100 TO ISO PEOPLE EXPERIENCED EYE , <br /> PEPPER SPRAY . THIS COMPLAINT REPLACES 00008011 <br /> EPPE� Tracy Fir? Department responded and could not find anything; they <br /> e closed u <br /> recomended that. the management keep the stor �ni !�lEHOgw FiD <br /> consulted . The management reopened the store without <br /> COMPLAINT Info — <br /> COMPLAINT MODE A.___,._...AGENCY REFERRAL <br /> A-Agency Referral 8-80 OF Supervisors/City Ccouncil C-Counter M-MailfCorrespond?nce <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: �,2� <br /> O1-Field Abated 02-Office Abated 03-MAI Sent 04-"!otic? to Abate Issued 05-Enforce ACT Initiated <br /> n�-Transfer to premise file <br /> 07-Refer to ether Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Referral Letter Sent by : <br /> Date <br /> Circle appropriate Unit 4 if complaint in another PROGRAM Jurisdiction. Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 II III IV for Investigation <br />