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e��run 1�� / SAN JOA©UIN COUNTY PUBLIC HEALTH SERVIC Report 15144 <br /> Page # 1 <br /> COPY # = 01 ov COMPLAINT INVESTIGATION- REPORT <br /> COMPLA1,NT 0 = C0007912 Program/Element00 <br /> TAA by : 6519 CAROL DISA Date: 43/20/97 Assigned to : 0467` JEFF CAMSCO Date: 03120/9 <br /> Hard cc" PrIntst. 03/21/97 <br /> Facility Name: — Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 20801 S . WOODWt)RD. (Must have FACILITY 191) <br /> Complainant: JOSE MARTINEZ ._______Home Phone: 209-825-0561 <br /> Address: Work Phone: <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: _Loc Code : <br /> Address: BOS Dist <br /> City: APN # <br /> Phone: <br /> MILLINGRESPONS113LE PARTY or 04NER Info - <br /> Name: Homs Phone: <br /> Address: Work Phone: <br /> City: - — 3HAS <br /> llatere of Caint: <br /> PEOPLE ARE GETTING SICK AFTER GOING INTO AREA. MR.MARTINE AON <br /> ARE SICK. IS WORRIED THERE MAYBE HEPATITIS IN AREA . <br /> S440*4wl,04 wig -- wf <br /> COMPLAINT Info - <br /> £SMAINiT MODE: R--NONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Couoter H-ltail/Correspondence <br /> 0-Other EH Unit P-phone <br /> CDILAIMT STATUS: <br /> ft-field Abated 02-Office Abated 03-Ml,Sent 04-Notice to lige Issued D5-Enforce ACT lnitiated <br /> 06-Trawfer to Praise File 07-Refer to 06or Ageacy 00-Mot Valid 09-Foadborae Illness <br /> Servd Referral Letter to: <br /> Address: <br /> : <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Ueit 1 if coaplaiat in another M00RAM jurisdiction, Have Cosplaint Record and PIE updated <br /> Forwarded to UNIT: I Q, III IV for Investigation <br />