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iVIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Page # <br /> P" 01 - COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = COOO4441 Program/Element ' 4200 <br /> Taken by : 9051 MARY OSULLIVAN Date: 08/15/95 Assigned to 0756 ,CAROL 02 Date: 08/15/95 <br /> Hard copy Printed <br /> Facility Name : Fac I0: <br /> BILI. to inventoried FACILITY: <br /> Location 629 F WATGRInr_PO1 ',n V5 (Must have FACILITY I0#) <br /> mPlairiant: 9EQF2GE C1A1_1,AG_ QS Home: Phone : 209-465-2842 <br /> Adch-es _ Work Phone : <br /> FACILITY LOCATION/Property Info - <br /> Loc Cc,&-, <br /> y <br />