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-)ate run: 09/1.4/98 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 0104 <br /> Run by : CAROLD Page ## 2 <br /> Cop4y �#.. : : 01 of 0 COMPLAINT INVESTIGATION REPORT <br />'SCOM&VW # = C0010975 Program/Element = 4400 <br /> Taken by : 6514 DISA Date: 09/14/98 Assigned to : 0370 MARCHESE Date: 09/14/98 <br /> Hard copy Printed: <br /> Facility Name: .........._ Fac ID: r I � <br /> n BILL to inventoried FACILITY: <br /> Location: 2b29.._-EWATERL©©. (:0-1, 2� (!lust have FACILITY ID#) <br /> Complainant: DEBB_ ....._........................................_................_..........................................................................-...._...._.....Hnme Phone: 209-W463-4963 <br /> Address: ....._...................__._..._....._._..._....._......._.._-......._.........,..,.._.._......................._.................._......_........................__Work Phone. <br /> STOCKTON CA <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name= Lac Code : <br /> ._._............................_..._....._..............__....._..._...................._.........._............-..._......_....._.......__.........._................................._..._._.__........... <br /> Address : 2629_._E...._WATERLOO_ _....... ............. .. .. .._. .. _. BOS Dist : <br /> City: ST0CKT_0N. A P N # <br /> Phone : <br /> BILLING RE:SPON BLE gARTY or OWNER Info — _ Home Phone' <br /> Name : mG�IW .n_ _._.._...........__._._....__...._._._._............................................_.........._.......__.... yb 1 <br /> Address: _ ._.._._...._„____._..J?0.._.:.... eX__.._S_.. .. �.5._......_._............._......-....._._..._......_._.. ,.... ._Work Phone: <br /> City : <br /> I <br /> Nature of Complaint: <br /> GARBAGE NOT PICKED UP . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P.......... <br /> A-Agency Referral B-BD OF Supervisors/City CCOunCil C-Counter M-Nail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: .0.3._, <br /> O1-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-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: ' <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> 9 <br /> a <br />