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Date run ' 08/13/ 6 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by MARYF/C4b— Page # 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT p C0006666 Program/Element : 1600 <br /> Taken by : 8714 MARY FRANKS Date: 08/12/96 Assigned to 0794 RAJU MATHEN Date: 08/12/96 <br /> Hard copy Printed: <br /> Facility Name : 99 _SPEEDWAY Fac ID: 002137 <br /> BILL to inventoried FACILITY: <br /> Location: 4105 N WILSON WAY (Must have FACILITY ID#) <br /> Complainant : MR , MC LAUGHLIN _ Home Phone: 209-931-2564 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: 99 SPEEDWAY Loc Code : 01 <br /> Address : 4105 N WILSON WAY BOS Dist : <br /> City: STOCKTON, 95205 APN # <br /> Phone : 209-477-2277 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: R G CONCESSION COMPANY Home Phone : <br /> Address : P-0-B.-OX 7065 Work Phone: <br /> City : STOCKTON CA 95207 <br /> Nature of Complaint: <br /> NO RUNNING WATER OR POWER ON 8/10 , SERVING COLD HOT DOGS & NO WHERE TO <br /> WASH HANDS . LADIES RESTROOM WAS W/OUT WATER , HAD PORTA POTTYS . <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 EH Unit P-Phone <br /> COMPLAINT STATUS: 'O Ir <br /> 01-Field Abated 02-office Abated 03-NAI Sent 04-Not Issued 05-Enforce ACT Initiated <br /> 06-Tr8nsfer to Premise File 07-Refer to Other Agency Not Valid 09-foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: <D II III IV for Investigation <br />