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Date run: 12/26/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : KARENIGk Page # 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : CO009467 Program E1.. ep.tn.,; 3600 <br /> Taken by : 9157 HARCELLOS hate: 12/23/97 Assigned to 9157 BARCELLOS Date: 12/26. <br /> Hard copy Printed: 12/26/97 <br /> Facility Name: VENETIAN PARK APARTMENTS Fac ID: 001660 <br /> BILL to inventoried FACILITY: <br /> Location: 1540 MOSAIC WAY (Rust have FACILITY IDI) <br /> Complainant : TENANT Home Phone: <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address : 1540 MOSAIC WY BOS Dist : <br /> City: STOCKOTN APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone : <br /> Address : Work Phone: <br /> City : <br /> Nature of Complaint: <br /> THE SPA IS DIRTY. <br /> COMPLAINT Info — <br /> COMPLAINT RODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter R-Rail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: _02,_ <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice 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 PIE updated <br /> Forwarded to UNIT: Q 11 1II IV for Investigation <br />