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&M-r''rurn : 02/12/c�b SAN JOAOUIN C .!JNT ci i: i._i ?�l_?F; Report 45104 <br /> Run by : MARYF�<„�? <br /> Copy # O1 of G COMPLAINT INVESTIGATION REPOR" <br /> COMPLAINT # = C0006679 Program/Element 2546 <br /> Taken by : 0418 MICHAEL KITH Date: 08/12/96 Assigned to 0418 MICHAEL KITH Data: 08112"16 <br /> Hard copy Printed: <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: NE CORNER- OF W..EST LN MOSHER .:L (Must have FACILITY ID# i <br /> Complainant : <br /> . <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Coda : <br /> Address : __ . ......_..__ __BOS Dist : <br /> City : APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : COS MUD Home Phone : <br /> Address : Work ='hone : <br /> City : <br /> Nature of Complaint: <br /> VANDALISM CAUSED A 25-40 GALLCN RELEASE OF : = a SODIU1 CHI-O:RITE . MK <br /> RESPONDED . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City CCouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: D! <br /> OI-Field Abated 02-Office Abated 03-NAI Sent 04-Not4ce to Abate 'ssuad 05-Enforce ACT I-,i.iated <br /> 06-Transfer to Premise File 01-Refer to Ot'ner Agency 08-Not Valid 09-Foodborne Illness <br /> appropriate Unit M if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updat%+ <br /> Forwarded to UNIT: 1 Ii IiI IV for iivestigatico <br />