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DiZ+g__ryn : 10/1.9/94 SAN JOAQUIN COUNTY PUBLIC HE=ALTH SERVIC Report #5104 <br /> Run by : CAROLINE - Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0002774 Program/Element : 2546 <br /> Taken by : 0001 LINDA TURKATTE Date: 10/19/94 Assigned to 0001 LINDA TURKATTE Date: 10/19/94 <br /> Facility Name = Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 1..39.4.5....,_W.,.,_WA NUT..,..GRC7VE (Must have FACILITY ID#) <br /> Complainant : <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name : Loc Cade <br /> Address : BOS Dist:. <br /> City= APN # = <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address: Wnrk Phone : <br /> City- <br /> Nature of Complaint: <br /> WATE=R COMING FROM COMPLAINANT 'S TAP IGNITES ON FIRE . <br /> COMPLAINT Info -- <br /> COMPLAINT MODE: P PHONE <br /> .................. <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 /> 01-Field Abated 02-Office Abated 03-NAI 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 /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 'II III IV for Investigation <br />