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104 <br /> Date run : 11/05/99 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report15k 1 <br /> Run ,by : DENORA <br /> Copy` 9� : 01 of or COMPLAINT INVESTIGATION REPORT <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name : WESTLAN -Loc Code : 01 <br /> Address : d WEST LN SOS Dist : 002 <br /> City : STOCKTON APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY o OWNER Info — <br /> Name ' RA ARK ORP ATI N Home Phone : 204-952-2$70 <br /> Work Phone : 209-956-3445 <br /> Address ' 40 W NE EI T D <br /> City: TO N _ 09 <br /> Nature of Cotplaint: <br /> MMICE AND COCKROACHES IN RESTAURANT <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other <br /> BE Unit P-Phone <br /> COMPLAINT STATUS: <br /> -Field Abated 02-Office Abated 03-HAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06 ransfer to Premise File 07-Refer to Other Ageacy 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address : <br /> Referral Letter. Sent by: Date : <br /> Circle appropriate Unit D if comp 'nt in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT; I II III 'IP for Investigation <br />