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gate run; 08/07/9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by = CAROLD {Ky Page # 1 <br /> Copy #f 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0010782 Program/Element 1320 <br /> Taken by : 6519 DISA Date: 08/07/98 Assigned to : 2282 RABACA Date: 08/07/98 <br /> Hard Copy Printed: <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 11960 LOWER,.SACRAMENTO (Must have FACILITY ID#) <br /> Complainant : JAMES..._HEDGECoCK.,-............................. Home. Phone: 209-366-0668 <br /> Address: 11960 ,LCWER SACRAMENTO. ----Work Phone = <br /> STOCK.T.ON, CA J�IGon�, c `g <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Loc Cade <br /> Address : 11960 LOWER SACRAMENTO BOS Dist = <br /> city : STOCKJ.ON. APN ## <br /> Phone : d�V� <br /> BILLING RESPONSIBLE PARTY or OWNER Info — II /� <br /> Name : Li.11..........���#'1......._Home Phone: <br /> Address: . ._� ........._�,�.j..�..�.�'�.Q............�....._�-�' �' � � Work Phone : <br /> D. X. 23t1_.. <br /> y -. <br /> city„ <br /> K.ature of Complaint:. Pam Ile CA <br /> OWNER HAD WATER PIPES CUT AND CAPPED OFF . HAVE NOT HAD A NOTICE FROM <br /> OWNER TO VACATE . ALSO PROBLEMS WITH MICE . <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: 0 <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 ONot 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 /> Forwarded to UNIT: II III IV for Investigation <br />