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Date run: 02/02/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 0104 <br /> Run by : KAREVW Page # 7 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT, # C0009615 Program/Element : 4400 <br /> taken by A-9519 DISA Date: 02/02/98 Assigned to : 0370 MARCHESE Date: 02/02/98 <br /> Bard copy Printed: 02/02/98 <br /> Facility Name: _ Fac ID: l� <br /> BILL to inventoried FACILITY: <br /> Location: 2629 E. _WATERLOO RD. #1 (Must have FACILITY IDI) <br /> Complainant : MRS . MIRACLE Home Phone: <br /> Address : NO PHONE Work Phone: <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: EL REY MOBILE PARK Loc Code : <br /> Address : 2629 E WATERLOO 91 RD BOS Dist : <br /> City: — APN # : III — zto — 3� <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: T Horne Phone: <br /> Address : P i Box 5Sa3S" Work Phone: <br /> city: <br /> Nature of Complaint: <br /> THERE IS GARBAGE AT THE REFERENCED ADDRESS ; NOTE: NO GARBAGE PICK UP. <br /> THIS COMPLAINT WAS TAKEN PER GREG OLIVEIRA. <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 Ell Unit P-Phone <br /> COMPLAINT STATUS: b-LO- <br /> 01-Field Abated 02-Office Abated 03-NAI Seni 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer io Premise File 07-Beier 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 f if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I frb III IV for Investigation <br />