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Report <br /> ate run= 10/1$19'x' SAN JOAQUIN COUNTY PUBLIC HEALTH $ERVIC Pa9eA#04 1 <br /> " ?Qi;:,'of 01 C PLAINT .•�N1/ESTIGATION REPORT. � p�l1�!►#["[M!'fl�f!'�MM <br /> - MM <br /> Ctl11Pl.A�T # COO131 ,, :Pro�rarn/E].em�nt <br /> Tia by = 6319 DISH :Date:. 10/01199 '�.E. Assigned to :• 5838 ELLSAESSED: Date.:-,14/Os199 <br /> Hard copy Printed: 10/08/99 <br /> Facility Name: Fac. ID. BILI to inventoried F(1£ILITY: <br /> Location: 1_W EMASTERS, WAY (Must,have FACILITY IDB) <br /> �A Home Phone: 209-365--1132 <br /> Comp I a i nA nt ' <br /> Address: I-WIN__E1yA T RS WAY ,Work- Phone= <br /> LODI CA <br /> FACILITY LOCATION/ProPerty Info <br /> DBA or Name: Loc Code - <br /> Address: 1 W-M—M-..,.5T R BOS Dist - <br /> City: LODI_ APN 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or .OWNER Infa <br /> Name: Phone: <br /> Address: _ _ - - --__.____.------ Work Phone: <br /> City= LODI CA - 95240 <br /> Matgro of Cowlaint: <br /> FLIES ,F.ROM TRANSFER STATION- IN BACK. OF:.8UILDIPIG. AND COMING INTO <br /> THIS: BUILDING, THEY HAVE: FOOD PRODUCTS ,AND ARE VERY CONCERNED . <br /> CALL COMPLAINT WHEN INSPECTION. I$ COMPLETED. . <br /> COMPLAINT Infa, <br /> CWLAINT MODE: P ._PHONE <br /> A-Aoencr Referral B-BD OF Supervisersititr Ccouncil C-CounteT R-hail/Correspondence <br /> O-Other EH Unit -P-Phone <br /> COMPLAINT STATUS: A <br /> 01-Field Abated 02-Office Abated 03-Ml Sent 04-Notice to Abate Issued 05-Eaforce ACT Initiated <br /> 06-TTaasfer to Proviso File 07-Refer to OtbeT AIWY 08-Not Valid 09-Foodborne Illus <br /> Send Referral Letter to. <br /> Addarese <br /> Referral Letter Sent by: Date: <br /> Circle WrOpTiatf (fait j if CoaplalAt in another PA06RAM jVrisdiCtion, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />