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Public Works Dept <br /> a <br /> R�fiewed by: Date: <br /> Complaint Record Updated By: Date : <br /> Revised Report 1DI04 1/8193 } <br /> Date run: 10/13/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICaro €6104 <br /> Run by CAROLINE Page '` 1 <br /> Copy 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> ��iMM,�IMMMMMMMMMMMMMMMAfA1MMMMMMMhiMMMAiMMhiMAfI+1MMMMMMMMMMAfMMAfMMMMhfMMMMMMMMMrfAfMMMMMMMMMM ' <br /> COMPLAINT # C0000849 Program/Element : 1614 ? <br /> Taken by : 8674 JAMIE FAVILA - Date: 10113/93 Assigned to 0633 DAVE, YODER Date: 10113(93 <br /> M <br /> Facility Name : Fac ID: <br /> BILI, to inventaried FACILITY: <br /> Location: 1616 E HAMMER LANE (dust have FACILITY ID;) <br /> Complainant: <br /> : <br /> E r <br /> — I <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : COSTO Loc Code : 01. <br /> Address: 1616 E . HAMMER BOO Dist : <br /> City: STOCKTON APN T t <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info - ! <br /> Name : UNKNOWN home Phone : <br /> Address : Work Phone : <br /> City: w <br /> Nature of Complaint: <br /> MEAT CUTTER OBSERVED USING THE VRINAL W/HIS BLOODY ARPON ON. <br /> i <br /> � r <br /> COMPLAINT Info — <br /> i � <br /> COMPLAINT NODE: }� <br /> A-Agency Referral B-BD OF Supervisors/City Ceauncii C-Counter M-?ail/Correspondence � <br /> O-Other EH Unit P-Phone <br /> a r <br /> COMPLAINT STATUS: <br /> 0I-Field Abated 02-Office Abated 03-NAI Sent D4-Notice to Abate Issued 0jI-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> i <br /> t <br /> E JirLle appropriate Unit I if coaplaiat in another PROGRAM jurisdictian, have ya plaint Record and PJE updated <br /> Forwarded to UNIT: I H III Int for Investigation <br />