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w <br /> 1 <br /> 1 <br /> Date run : 04/17!97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Rin by : KAREC� Page # - <br /> CooY # 01 0 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : COOO8O1O Program/Element = 2200 <br /> Taken by : 3304 KAREN ARMSTRONG Date: 04/11/97 Assigned to : 1968 JERRY YOSHIOKA Date: 04/11/97 <br /> Hard copy Printed: <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 20801 WOODWARD ROAD . MANTECA. (Must have FACILITY ID# <br /> - ....... .... ..._.. . ....__._.._. ._ .. <br /> Complainant : A N!O N Y M 0 U S _-_.._. __..............._......._---_...__Home Phone : <br /> Address : 4dork Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : _. _ Loc Code <br /> Address : ........_SOS Dist <br /> City: APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : _.... Home Phone : <br /> Address : __........ —........_._......_.._.__............_..._................. -_................. W o r k P h o n e <br /> City ' <br /> Nature of Complaint: <br /> The owners of the mobile home park are Putting flood debri into the <br /> slough . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date : <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 II II IV for Investigation <br />