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Date run: 04/03/9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Run byr : IA`RY Mage # <br /> Copy # = 01 OR COMPLAINT INVESTIGATION REPORT <br /> re <br /> COMPLAINT # = C0007980 Program/Element : 1AooZ' <br /> Taken by : 6519 CAROL DISA Date: 04/03/97 Assigned to : 0794 RAJU MATHEW Dane 04/03/97 tai q <br /> Hard copy Printed. 04/03/97 30 <br /> Facility Name: Fac ID: Vft-'0L')40 <br /> W--- ` BILL to inventoried FACILITY: <br /> Location= 215Q......FONTANA AVE. - (Must have FACILITY IDI) <br /> Complainant: ANONYMOUS Home Phone: <br /> ............................._...._..........._.........._._............................................................... <br /> Address: ...........-Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name: I'l Loc Code <br /> Address : BOS Dist <br /> ..__...................I-_..............._......................._. .. <br /> City". ................ ..................................._...-..-.._...._... <br /> AP..N # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: ................ Home................._Home Phone : <br /> Address: Work Phone: <br /> City : _ <br /> Nature of Complaint: <br /> PEOPLE IN APARTMENT #26 ARE: SELLING BEER ,CANDY AND FOOD . <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 t-{ <br /> 01-Field Abated 02-Office Abated 03-NAI Sent _6otice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date: <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 9 II III IV for Investigation <br />