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Date run: 04/02/98 S N .JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Run by : CAROLDW Page # <br /> Copy # : 01 of COMPLAINT' It4VE'STIGATION REPORT <br /> MMMMMMMMMMMMI'1MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMN1NIh MMIy�IMMM.�'IMMMM <br /> COMPLAINT # = C0009973 Program/Element 1 O <br /> Taken by : 0740 ASKANAS Date: 04/02/98 Assigned to : 3497 OUINLIN Date: 04/02198 <br /> Hard copy Printed: J(0If=acility Name : ABCARCOAM/PM- Fac ID: 003.1.00- <br /> BILL to inventoried FACILITY: <br /> Location: 2.571'=; PATT_ERSON PASS RG (Must have FACILITY I04) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info - <br /> DESA or Name : A B C ARCO AM/PM Loc Code 99 <br /> - _........._.........._....._..__...._..._.......__......._...... ...._......_.._......__........._........ - __......__........ <br /> Address -, 2.577` E�ATTF R50N PASS....._Rp........ .. .......... ................................. <br /> ........ E30S Dist 005 <br /> _. <br /> city- TRACY. 9`:x 3 7 6 APN # <br /> Phone - 209-835-7777 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name = ANSEL. . DONALD J . Home Phone: <br /> Add, -­ 6029L.INNEMAN RD Work Phone : 209-835-7777 <br /> City : BRYON CA 95376 <br /> Nature of Complaint: <br /> DIRTY RESTROOMS PLEASE SEE ATTACHED LETTER . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: <br /> ,A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Q� <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 01-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 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q II III Iii for Investigation <br />