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xepu, * 1vY <br /> Date run: 11/29/99 SAN JOAC�UIN COUNTY PUBLIC HEALTH SEMRV7 G � J <br /> Page # 5 <br /> Run by DE^NORA <br /> Capt # : 01 of 0 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMf1MMMMNfMMP?lylMl�lMMMh1MMMMMMN1MlvlMMMMprogram/Element <br /> l lMMMIyIM, M�MM}MMI�fMMMMNfMf'7MIyfT4 <br /> COMPLAINT # = C0013335 Assigned to : Date 11/29/49 0�-�, 31 <br /> Taken by : 7829 GAGAZA Date: 11/29/49 a c � <br /> Hard copy Printed: 11/29/99 D. 0 1 O 30 5 <br /> Facility Name: LONDtiI ............ BILL to inventoried FACILITY: <br /> Location: 075.....E_ WEBER AVE <br /> (Must have FACILITY 100) <br /> complainant: ROSCHA <br /> _. <br /> . . Hame phone : 209-944--5650 <br /> Work Phone= <br /> Address = ................................._. <br /> FACILITY LOCATION/Property Info - <br /> DSA or Name: L00N. ..PRODUCT... II�G....#._1. <br /> Loc Cade : 0.1 <br /> ND <br /> , <br /> . SOS Dist <br /> 007. <br /> Address. WEBER AVE.. .. . .APN 153-.1.1-17.0-2. <br /> . .. <br /> City: STOCSTON9520520 <br /> Phone : 209-464-4722 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — Home Phone " <br /> Name : JEFF..__.Lt NPbN.._......._.............._... ............ ......................._........_.............................. <br /> .... ......�........_.: ....... <br /> _ Work Phone: 916-451-19 <br /> 00 <br /> Address: ... <br /> City . ...... <br /> Nature of ComPlaint: <br /> USING AMONIA AND THE:. ODOR IS STRONG , MAKING NEIGHBORS SICK <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BO OF Supervisors/City CCOUnCil C-Counter M-Nail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Q <br /> 01-Field Abated 02-Office Abate - 04 Notice to Abate Issued 05-Enforce AC? Initiated <br /> Ob-Transfer to Premise File 07-Refer to Other Agency 68-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : __- - - _ �, Date: <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 11 III IV for Investigation <br />