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Circle appropriate Unit R if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT: QI II III IV for Investigation <br /> COMPLAINT # : COOO5851 Date: 04/08/96 <br /> Inspector : RAJU MATHEW Location : 2150 FONTANA #17 <br /> COMMENTS - <br /> #4 : <br /> date 6 I lel by:Gn <br /> date I l� by: <br /> #5: <br /> 'date /_____/_ by: <br /> date l,_ /— by: <br /> #6 <br /> date—/—/— by-.— <br /> date <br /> y:date I I_ by: <br /> #7: <br /> date—/—/— by: <br /> date_ ^!_/_ by: <br /> #8: <br /> date,_!_/_,,,, by: <br /> date—/—/_ by: <br /> date_/ /_ by: <br /> date_ __/ /_ by: <br /> date 1_l_ by: <br /> ,Resolved/Ahated by: #7 Name Dat e/ /„� <br /> Violations: <br /> Enforcement: <br /> CORRESPONDENCE & LEGAL DATES - <br /> NOTICE TO ABATE sent / / Office Hearing date !�/ <br /> REFERRAL DATE$ - (Check Referral Agency and ENTER DATE letter sent.) <br /> _ Fire Dept / /_ Police/Sheriff Dept I l _-_ _ Building/Housing Dept __! I_ <br /> PH Nursing / I_ _ Animal Control _IJ T _ District Attorney l_I_ <br /> State ODWI TI_ Planning Dept 1 l� <br /> _Cal-EPA OTSC and/or RWQCB I I _ Public WOTks-Dept I I T <br /> Third Party Billing Information:- <br /> ... �• �:� <br /> Name: C/O: <br />