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Date run : 01/19/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARYO/4'r - Page # <br /> Copy # : 01 of 01, COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = COOO5377 Program/Element : 1600 <br /> Taken by : 3304 KAREN ARMSTRONG Date: 01/19/96 Assigned to : Date: 01/19/96 <br /> Hard copy Printed: 01/19/96 <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: (Must have FACILITY ION) <br /> Complainant : ANON . ... ................. ... . ____......................... ...............Home Phone : <br /> Address: Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address: - <br /> __ _. _............ __._ BOS Dist <br /> City : APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : RAYMOND -VAN , WAGNER.,.....,.,,. Home Phone: 209-551-1913 <br /> Address: Work Phone : <br /> City: _ <br /> Nature of Complaint: <br /> OPERATING A CATERING SERVICE IN S .J . COUNTY WITHOUT A PERMIT : <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,ky <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 0 II III IV for Investigation <br />