Laserfiche WebLink
UaUe tura V3/ lU/y '�HrI JUAUUIN COUNIYrPUBLIC HEALTH SERVIC RReaportQe45# <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address : BOS Dist : <br /> City : APN # <br /> Phone, <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone: <br /> Address : Work Phone : <br /> City : <br /> Nature of Complaint: <br /> FACILITY IS SELLING SANDWICHES , SOUPS , AND SALADS OUT OF COFFEE SHOP <br /> WITHOUT A PERMIT . FOOD IS PREPARED BY SENIOR SERVICES STAFF , PACKAGED <br /> AND SOLD IN THE COFFEE SHOP TO THE EMPLOYEES . ALSO , THEY HAVE ANOTHER <br /> COFFEE SHOP AT THE COURTHOUSE IN THE BASEMENT THAT SELLS DONUTS , COFFEE , <br /> SODA AND OCCASIONLY BURRITOS . ( NO PERMIT FOUND FOR THEM EITHER ) . <br /> NOR GAt, VpNAtnlE,• <br /> Dept or' He.rmA • v/ <br /> MAR1k- Rhyrio <br /> COMPLAINT Info — <br /> V A-LM 16 <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-8D OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> _....._.__ <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 /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date : <br /> Circle appropriate Unit ' if compla' t in another PROGRAM jurisdiction. Have Complaint Record and P/E updated <br /> forwarded to UNIT: II III IV for Investigation <br />