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Dai � �,ri� : Ola;1 . /' ,AfI IQAQUIN COUNTY PULM 1C f,r ?'JIC Report #5104 <br /> kunby MARY! Page # 11 <br /> _opy # : 01 of 0 COMPLAINT INVESTIGATTON REPORT <br /> COMPLAINT # = COOO689O Procilam/ELe ent : 4000 <br /> Taken by : 3304 KAREN ARMSTRONG Date: 09/12/96 Assigned to 9157 MAR OS Date: 09/12/96 <br /> Hard copy Printed: 09/13/96 NA, <br /> Facility Name : Fac ID : IV` <br /> BILL to inventoried FACILITY: <br /> Location= 3112 BELEVEDERE , SPACE, 7 (Must have FACILITY ID#) <br /> Complainant : <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address : BOS Dist : <br /> City : APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address : Work 'hone : <br /> City <br /> Nature of Complaint: <br /> NUMEROUS TICKS AROUND & IN MOBILE. HOME ( VECTOR CONTROL_ ) . <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: ..6117 <br /> 01-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 /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q 1 III IV for Investigation <br />