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Date run= 06/24/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by CAROL D Page 1 <br /> Cop'F #- *= 01 of COMPLAINT INVESTIGATION REPORT d <br /> COMPLAINT # = 00010489 Progr /Element 3600 <br /> Taken by : 6519 DISA Date: 06/24/98 Assigned to : 9157 B O�Bate: 06/24/98 <br /> Hard copy Printed ' <br /> Facility Name : VEr,NET_I,ANPA,RK_..._APARTMENTS ac ID: D .1.I— <br /> BILL to inventoried FACILITY: <br /> Location: 1540 MOSAIC WAY (Must have'FACILITY ID#) <br /> Complainant : ......................... Home Phone: <br /> Address' ..........................................._............__......_...._........_......................_............._Wor k Phone " <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: ...................._L..oc Cade : 0.1, <br /> VENETIAN ..........................._._........................................................ <br /> Address : 1540 h10SA_IC__.WAY.,.,.._, .. .. . ..BOS Dist : <br /> City: STOCKT0N 95207 APN <br /> Phone: 213-452-9040 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : JACOBSON , NORMAN ................... ............................................_-................._.........._............Home Phone: <br /> Address. <br /> <br /> <br /> <br /> <br /> <br /> Nature of Complaint: <br /> WATER IN WATER FOUNTAIN IS GREEN AND STAGNATE . HAS BEEN'.THIS WAY FOR <br /> ABOUT A MONTH . <br /> i <br /> COMPLAINT Info -- <br /> si <br /> COMPLAINT MODE: <br /> A-Agency Referral B-BD OF Supervisors/City COUnCil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <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 O8 Not Valid 09-Foodborne Illness :, <br /> Send Referral. Letter to: <br /> Address: <br /> Referral Letter Sent by: Gate : <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E'updated <br /> a <br /> i <br /> Forwarded to UNIT: (I) I1 III IV for Investigation <br /> ) <br /> ate. <br />