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Date run: 06/02/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by KARMot <br /> Page # 11 <br /> Copy # 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0008346 Program/Element : 1600 <br /> Taken by : 9051 MARY OSULLIVAN Date: 06/02/9T Assigned to 8Y 4f t*3tt 1tATIFBiI Date: 06/01/9T <br /> lard copy Printed: <br /> Facility Name : MARINA MARKETPLACE Fac ID: 007.36.5 <br /> BILL to inventoried FACILITY: <br /> Location: 3201 W. BEN HOLT (Must have FACILITY IDf) <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 Phone: <br /> city: <br /> Nature of Complaint: <br /> The bakery area is dirty; dishes are being washed in cold water that <br /> is sitting in the sink all day. <br /> COMPLAINT Info – <br /> COMPLAINT MODR: P PHONE <br /> A-Agency Referral B-BD Of Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other RN Unit ?-Phone <br /> COMPLAINT STATUS: <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 OT-tefer 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 # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forvarded to UNIT: 1Q 11 111 IV for Investigation <br />