Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SHORT TERM COMPLAI`i T FORI-VI <br /> DATE 1 V 15 INSPECTOR (LAsTNAhIE): fZi1�zl�) COMPLAINT NO: 3 <br /> TAKEN BY (LASTNINIE): L_O1,e)4�- PROGRAM: FACILITY ID NO: <br /> DISTRICT: LOCATION: APN: CROSS STREET: <br /> SITE ADDRESS: STREET# STREET NAME CITY ZIP <br /> DBA: v2O T::;�,c-c boo <br /> OWNER/OPERATOR: <br /> ADDRESS/TELEPHONE: <br /> COMPLAINANT NAME: �( -- <br /> ADDRESS/TELEPHONE: <br /> COMPLAINT: Jo-Piq bcA4 V5-l.A Se-U W!3 &d 6v► f�:aCeJbc>ok acl vee-fps 1 n J <br /> (A)Agency Referral (B)Board of Supervisors (C)Counter (E)Code Enforcement (F)Fax(I)Intemet/Email (IN1)Nlail/Correspondence (0)Other/EHD Unit (P)Phone <br />