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Date run: 02/09/99 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVI(; NeDOTL PaaeRsIU4 1 <br /> Run by : CAROLD it <br /> 4(��opy '*# : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0011686 Program/Element 1320 <br /> Taken by : 7829 GAGAZA Date: 02/09/99 Assigned to : 228,2 RABACA Date: 02/09/99 <br /> Hard copy Printed <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 2629_.....WATERLQQ...._....._............ #1C?2. (Must have FACILITY IDg) <br /> ComPAddress: MARION BISHOP..........................................................................................._.... ...Wnmk Phone 209 -293- 4398 <br /> STOCKTON CA <br /> .._........._......................... <br /> FACILITY LOCATION/Property Info — <br /> 3 <br /> DESA or Name : DEL...... <br /> RAY._MOB_ILwE....._HOME....._PARK...._......................................_.............._.............__........._.-_i-LocCode <br /> Address: 262.9....._WA ERL00...._... _ _2... RD................._........._ ............._..............1--. ......__....._.......__BOS Dist <br /> City . ST©CKTON. APN # : i _ ^ 10 <br /> — 3F <br /> Phone : 1 L <br /> BILLING <br /> NamePONS ........E PARTY <br /> . ..t�1 ,S.OWNER <br /> .._.In_f_o......... ............................._................... Home Phi <br /> .... . �....�.. _ one: <br /> Address: Phone, <br /> ......................._. .. ...................._War P <br /> City - )-rod: +faro OA gS105 <br /> Nature of Complaint: <br /> NO HEAT IN APARTMENT . OVEN TORN APART . HOLE IN FRONT DOOR ALLOWING <br /> WATER INTO FRONT DOOR . HOUSING TOLD HER TO CALL US . PLEASE CALL. BEFORE <br /> GOING OUT TO COMPLAINT HOUSE . <br /> a <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> ............... <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 Abated02- ffice Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Pre File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illnessy <br /> Send Referral Letter to: <br /> Address= <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit d if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT II III IV for Investigation <br /> .1 <br />