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Date run : 09/13/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARY46& Page # 12 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0006891 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: 09/13/96 <br /> Facility Name: WEST LANE.-.-BOWL, Fac ID: 002383, <br /> BILL to inventoried FACILITY: <br /> Location: 3900 ,.,,,._.WEST.,..,LANE (Must have FACILITY ID#) <br /> Complainant : <br /> <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: WEST„.LA _ <br /> NE_ BOWL ,.,_,.... ...........—..Loc Code : 01 <br /> Address: 3900__ WEST,._LANE, ..,., BOS. Dist 002 <br /> City: STOCKTON. 95204 APN # <br /> Phone: 209-466-3317 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: DELUCCHI,a, RAY Phone: <br /> Address : 3900..__,,,._ WEST_.._LANE Work Phone: <br /> City : ST0CKT0N CA, 95204 <br /> Nature of Complaint: <br /> SMOKING GOING ON IN REST . RUNWAY AREA . <br /> 8/29/96 SEE PREMISE FILE <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-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: oI II III IV for Investigation <br />