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1 Date run: 09/23/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SFRVIC Report #5104 <br /> 111 Run by CAROLINE - Page ## 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0002610 Program/Element, : 1600 <br /> Taken by : 2115 CAROLINE NASCINENTO Date: 09/23/94 Assigned to : 0740 BRUCE ASKANAf Date: 09/23/94 <br /> Facility Name: Y.. . .. . N <br /> ALCREENS.: Fac Iii: 00,2468. <br /> - BILL to inventoried FACILITY: <br /> Location= b78_.:.::.:.......N-..W_I.LSON.....-WAY.....#,15 (Must have FACILITY 101) <br /> Complainant : <br /> : <br /> ........................._............................................................................................................................ <br /> .... <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: WALGRE_ENS Loc Code : 01 <br /> ........................._........................................................................................................_.._................................................................._...._.............._..........._................. ...... <br /> Address: 678N WILSON #15 BOS Dist. : 002 <br /> _..................................................................................................._............_.................._..............._................................ <br /> ...............................................-._. <br /> City: STOCK7.0N. 9520S APN # : <br /> Phone: 708-940-2500 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: WALGREEN Home Phone : <br /> Address: P .O . BOX 901 Work Phone: 708--940-2500 <br /> ................................................................_..._....................._..............................._..........................................._..............................._............ <br /> City: DE_ERF-,I,E L,© IL. 60015 <br /> Nature of Complaint: <br /> MGR .PUT RECON IN ATTIC TO KILL MICE--MICE DEAD—SMELL IS BEGINNING TO <br /> MAKE EwMPLOYEE:S SICK W/HEADACHES/FOOD IS ALSO IN STORE— <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-80 OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> Iftrit_____P-phone . <br /> LAINT STATUS: C/ <br /> .................. <br /> 01-Fi a 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 76-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, . Have Complaint Record and PIE updated <br /> Forwarded to UNIT: 1 11 111 IV for Investigation <br />