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�R V <br /> Date run: 031/31/%9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Uop'y� p1Rpt' ri COMPLAINT INVESTIGATION REPORT Page # 1 <br /> COMPLAINT # COOO5446 Program/Element = 1320 <br /> Taken by : 8714 MARY FRANKS Date: 01/31/96 Assigned to 9157 MARK BARCELLOS Date: 01/31/96 <br /> Hard copy Printed: <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location- 43� J.,..•.......SECTI0N_.-A.Y.E...... (Must have FACILITY I00) <br /> Complainant- ...-....... ._MARU_L... ..........._...._....._...._._......_Home Phone: 209-937-8815 <br /> Address : `k.... ............ 1�� .i. �_ ......:................._...:::..............._Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> T a. A-1 1 ti <br /> DBA or Name ; Loc Code <br /> ............................................................_ ....................._. ............... <br /> Address: _BOS Dist <br /> City APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name. ............... Home m e P ho n e <br /> .... _a......._ 1..Ia 'S....................................._..._,..................__....................._...................... ......._ <br /> Address= ` .��z..7...._...... ......5... r:� ............................ Work Phone: <br /> City = <br /> Nature of complaint: uS <br /> s, NO HEAT ,- & -&.Per LEAKS , SUB STANDARD HOUSING . <br /> COMPLAINT Info <br /> COMPLAINT MODE: P PHONE <br /> .................. <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EEK Unit P-Phone <br /> COMPLAINT STATUS: f <br /> 01-Field Abated 02-Office-Abated 03-MAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer t0- Premise File 07-Refer to Other Agency 08-Mot 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: 0 II III IV for Investigation <br />