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Date run: 07/26/////96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by : MARY Page # 5 <br /> Copy # : 01 0 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0006553 Program/Element : 1116 <br /> Taken by : 8714 MARY FRANKS Date: 07/25/96 Assigned to : 0794 RAJU MATHEW Date: 07/25/96 <br /> Hard copy Printed: <br /> Facility Name: WEST..-.LANE-,-_BOWL Fac ID: 002383 <br /> BILL to inventoried FACILITY: <br /> Location: 39.99. ........... (Must have FACILITY ID#) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: WEST..._LANE..._BOWL.....-.__....._.._.................................................._.......-...................__........................................ <br /> ._Loc Code : 0.1.. <br /> Address: .. .. .............._BOS Dist : 002 <br /> 3900--....:WEST...-LANE­....._._.__......_...__.....�....................._......................_......-....-.._.........._.. <br /> City: STOCKY'_ 95204 APN # <br /> Phone: 209-466-3317 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: QE til .._._RAY....._............................ ................_......................................................_........Home Phone: <br /> Address: 3900KY'...._._-WEST....._LANE...._........................._........._. Work Phone: <br /> ............................................ <br /> City: STOC._. _ CA 95204 <br /> Nature Of Complaint: <br /> SMOKING GOING ON IN REST . RUNWAY AREA . <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 /> 0-0ther EH Unit P-Phone <br /> COMPLAINT STATUS: O_„r <br /> 01-field Abated 02-Office Abated 03-NAI Sent 04-Notic ued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency Not Va id 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 0 II III IV for Investigation <br />