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Date run- 05/14/99 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIW Report 15104 <br /> Run by : CAROLD Page # 2 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0012234 Program/Element : 1320 <br /> Taken by : 0794 MATHEW Date: 05/14/99 Assigned to 0794 MATHEW Date: 05/14/99 <br /> Hard copy Printed- _ <br /> Facility Name ' Fac ID : <br /> BIL to inventoried FACILITY: <br /> Location- 212 FONTANA_ AVE APT #101 x ��''� �S• (Must have FACILITY 100 <br /> Compininant . I,AMES .,...,._ Home Phone : 209-462-2673 <br /> Address : _ Work Phone : <br /> STOCKTON CA <br /> FACILITY LOCATION/Property Info — <br /> (SBA or Name= _..- .. ............_. Loc Code <br /> Address : 2123 FONTANA.._„AVE 101 BOS Dist <br /> City' S (0CKIT,ON APN it <br /> Shone <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address Phone : <br /> C;lty : <br /> Nature or COMPlalnt: AR 4r <br /> Oi.D WORN OUT CARPET , COCKROACH INFESTATION . OWNER REFUSES TO CHANGE . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral 8-BD OF Supervisors/City Ceouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated 32-OfficeA 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT initiated <br /> 06-Transfer to Premise File 07 efer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: 7lbcf�rr hfc� l r/p �ir�yta�h9/17° <br /> Address: <br /> Rets "raI Letter Sent bY : <br /> i <br /> Circie appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Compiaint Record and P/E updated <br /> Forwarded to UNIT: 0 II III IV for investigation <br />