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Complaint Record Updated By: Date : <br /> Revised Psport ¢5104 r/8/93 <br /> i <br /> Date run: 10/01/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report ?5104 <br /> Run by SYLVIA Page y 2 <br /> Copy= w 01 01 CO PLAINT INVESTIGATION REPORT <br /> t <br /> MMhfMhlhfMhiMMMMMMh MM�'4IMMMMMMMM. MMMMMMMMMMMMMMMMMMhiMMhfMMMMMhfMMMMMrlhfhlMMMMMMMMMMMMMMMhi <br /> COMPLAINT # : C0000792 Program/Element 1300 <br /> Taken by 7354 SYLVIa .A??IT Z u t 01/91 Assigned to� Date: 30./011193 <br /> Facility Name. : _ Fac TD: <br /> BILL to inventoried FOILTIY: + <br /> Location: 26610 N DUSTIN RD ACAMPO (gust have FACILITY LD4) <br /> <br /> <br /> l <br /> I� t <br /> g FACILITY LOCATION/Property info - <br /> DBA or Name : ROBYN PUTNUM Loc Code 99 <br /> k Address : 26670 N DUSTIN RD BOS Dist 004 <br /> City: ACAMPO APN # <br /> Phone : <br /> i <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> 1 Name : ROBERT VETIER - Home Ph-one : 209-369-61$7 <br /> Address : 26960 N DUSTIN RD _work Phone : <br /> City: ACAMPO CA ' <br /> Mature of Comr laiat: <br /> - CELING FALLING IN - HEAT'TNG DOESN' T WORK FLOOR DOESN'T MATCH UP <br /> WITH BASE BOARD <br /> i <br /> t <br /> COMPLAINT Info — <br /> f <br /> COMPLAINT RODE: P PHONE <br /> A-Agency Referral B-BD OF SupervisonlTity Ccouncii C-Counter N-Rail/Correspondence + <br /> O-Other ER Emit ?-Phone <br /> COMPLAINT STATUS: _tt_ <br /> 01-Field Abated 02-Office Abated 03-NA1 Sent 04-Notice to Abate Issued 05-Enforce P.CT initiated <br /> H-Transfer to Premise Hie 07-Refer to Other Agency 08-Not Vai id H-Foodborne illness <br /> { <br /> 4 <br />