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t <br />( Date run; 06/23/95 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVTC Report #5104 { <br /> , nt , ' = MRRYI{ Page 1 <br /> Cdpy # 01 of UT COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = 00004120 Program/Element : . 01(0 <br /> 1 Taken by : 9051 MARY OSULLIVAN Date: 06/23/95 Assigned to 0102 �i Date: 06/23/95 <br /> Hard COPY Printed: ' <br /> Facd..iity.--Name: Fac Int I <br /> i - ~ BILL to inventoried FACILITY: <br /> i <br /> Location: 4.55.....N.....PERSH.I_NG....._ANE-__ (Must have FACILITY IDS) <br /> Complainant` <br /> - <br /> II <br /> MARK ............ ...._............ ._...........,....,._,._...�..... ....._.... <br /> ......._._ Phone- <br /> 209_477-2571 <br /> Address .................._.........._.......__.... ._..... ............ .Werk Phone: <br /> ............._._-. .........._..................._................_.._.._.... ...._._._. ­­- <br /> FACILITY <br /> LOCATION/Property Info — <br /> DBA or Name: Loc Code <br /> Address. _................._...._._......................................_..........__.........._.__._...._....................._. E3 O S Dist <br /> City- A P N # <br /> Phone ' <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone . <br /> ......_......_.._...........__......................................._.._.._........._...-._....-_.._.._..._. ......... ..... .. ... ..._..__. <br /> Address: ........_._._.__-_... . ._._._. _.__. _... . Mor k Phone <br /> Gity - <br /> Hatu"e 0 Complaint: <br /> GARBAGE FROM EITHER SIDE OF HIS BUSINESS, CAUSING HUGE F=LIES AND <br /> SMELL . ( BCTH ARE: FOOD BUSINESS ) <br /> i <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A.-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other Eli Unit P-Phone <br /> Il <br /> COMPLAINT STATUS: Q� <br /> a <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-Nat Valid 09-Foodborne Illness <br /> I <br /> 1 <br />{ <br /> i <br /> 4 Circle appropriate Unit A if complaint in ohQther PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> I Forwarded to UNIT: CIO <br /> III IV for Investigation <br /> I <br />{ <br /> J <br />