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' �8/1� � ��N JOA�UIN �DUNTY PU�iTC HEALTH �ERVIC Report #5104 ? <br /> Date run` / Page � <br /> Run by ' 5HELLYH�� <br /> ' O1 f ��� COMPLAINT INVESTIGATION REPORT <br /> copy # ' o <br /> COMPLAINT # : C0004412 program/Element <br /> — <br /> Token by : Y051 MARY 0SUKLIVAN Date: O8/10/q5 Assigned to . O7'- . —' MATHEW Date: 080110195 <br /> 8ard copy pTintod: 08/10/95 <br /> D' <br /> Facility Name , F�� I <br /> _ - �lL t» iov*ntmied FACILITY: <br /> 6fj (must have FACILITY 1W, <br /> Location. <br /> P RSHING ~ <br /> Complainant: EMILY77O� <br /> Hnme Phone : 2D9 474— — <br /> — '--- --- � — -- �--- -- or � Phone. <br /> � <br /> Addr��o : __' ___—� _—__ _ �_ _ __. ' <br /> FACILITY LOCATION/Property Info — <br /> ' 0o Code � <br /> DBA or N'ame � .—. ------'' __0S D�st � <br /> Addro��� <br /> --' '—� <br /> city ., APN city ., <br /> Phone- <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Home Phone : <br /> Name , <br /> Work Phone � <br /> Address: <br /> City , <br /> Nature Of Complaint: <br /> DEAD FLY IN SALAD—EMPLOYEES HAIR WAS NOT IN HAIR NET <br /> ' <br /> COMPLAINT Info — <br /> COMPLAINT MODE' p PHONE <br /> A,A8on:y Rofvnal 8-8D OF Supe/vismu/Clty Coounoil C-Counter M'Kui}/Cormopondxnve <br /> 0-V�he/ EH UnitP'Phvny <br /> COMPLAINT STATUS; dr...' <br /> n141-1d Abated 0-0ffi: Abated 03-NAI �ont 04—Notice to Abate Iouovd 05-Enforce �7 Initiateda� Mir � y <br /> 05'Nut Valid 09foudborne IUmmo <br /> ' �jm}* ��r�viute Unit 4 if mmplalnt in another PROGRAM juriodiction. Have Comp18int Recordard P/E updated , <br /> �_� ' <br /> r"~°"ra*d m UulT: �� II III IV for <br />