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1_. Ckk'W , 1V/CL/7/ bAN JUAWUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Run by CAROLDrC_ Page # 1 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009208 Program/Element 4000 <br /> Taken by : 3304 ARMSTRONG Date: 10/20/97 Assigned to : 9157 BARCELLOS Date: 10/20/97 <br /> Hard copy Printed: <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 23441 „ RIVER..._RDESCALON, Must have FACILITY IO4) <br /> Complainant : <br /> : - <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name: „ Loc Code : <br /> Address _- BUS D i st <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 /> EXCESSIVE AMOUNT OF FLIES COMING FROM SU WAN BAE PROPERTY . HE IS NOT <br /> DISKING MANURE . PLEASE CALL A .S .A .P . FOR RIGHT DIRECTIONS . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: _6�_ <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 /> 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: Q II III IV for Investigation <br />