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uate run: 10/27/97 _ SPN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 Run by : CAROLD/ Page # 1 Cc�y .4k" : 01 of 0 COMPLAINT INVESTIGATION REPORT COMPLAINT # C0009252 Program/Element : 4404 Taken by : 6519 RISA Date: 10/27/97 Assigned to : 0843 COLLINS Date: 10/27/97 Hard copy Printed: Facility Name: _ F,ac ID: BILL to inventoried FACILITY: Location: 925 N WILSON (Must have FACILITY IDA) Complainant: DONNA....-FLORES........._...w_._.........._._-__.__._..._._.............._•_..........................................Home Phone: 209-467-0631 Address : Work Phone: 209..-953-2007 FACILITY LOCATION/Property Info — DESA or Name: —......_._. .._... Loc Code Address: _.__....._ ..............._,__.._.._.............._.........._.................._.........................._................. _................ Dist City: APN # Phone : BILLING RESPONSIBLE PARTY or OWNER Info — Name: Home Phone : ................_................._............_........__...__...............................................................__.._................._.- Address: .,... Mork Phone: City: Nature of Complaint: RATS ARE COMING FROM BEHIND KELLY PLUMBING WHERE THEY PUT THERE JUNK . THE RATS ARE GETTING INTO NEIGHBORS HOUSE: . COMPLAINT Info -- COMPLAINT MODE: P PHONE A-Agency Referral B-8D OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence 0-Other EH Unit P-Phone COMPLAINT STATUS: 3 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated 06-Transfer to Premise File 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness Send Referral Letter to: Address: Referral Letter Sent by: Date: Circle appropriate Unit A if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated Forwarded to UNIT: II III IV for Investigation