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Date y lin' 07/27/.95 -chi rOAQUIN COUNTY PUBL.TC I-?EPI_T�i 517-0VTC Report 15104 <br /> �., .fid <br /> Rt.d n by MARY Cl [� <br /> Copy' # 01 o L)1 COMPLAINT INVE 5TIGATION REPORT Page <br /> COMPLAINT # r 0040429$ PrCgram1/EJernent : 1600 <br /> Taken by 0628 SHELLY PRATER Date: 07/26/95 Assigned to 1 0794 RAIU MATHEW Date: 0?/26195 <br /> Hard copy Printed: <br /> F'ac i l a ty Name ' Far IP: <br /> BILL to inveptcried FACILITY. �_- <br /> Location: F00G'_.._°+ WILSON .L.!;Y (bust have FACILITY IN) <br /> Complainant- <br /> <br /> FACILITY LOCATION/Property Info — <br /> DLA or Name, Loc Code <br /> Address : .. ..BOS Dist <br /> city-, APN # <br /> Phone <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: Homy Phone = <br /> Address : ..Work Phone, <br /> Cit/ - <br /> Nature of Complaint: <br /> PURCHASED PEACHES A WATERMELON eOTH WERE. ROTTEN IN THE INSIDE . <br /> COMPLAINT Info — <br /> COMPLAINT MODE. 0 OTHER EH UNIT <br /> A-Agency Referral 6-ED OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> G-Other EN Unit P-phone <br /> COHPFAINT STATUS, 012- <br /> 01-Field <br /> 2-01-Field AbatedOffice Abated 03-NAI Sent 0b-Notice to Abate Issued 05-Enfcrce ACT initiated <br /> 06-Tra5sfer to Prem �e File 07-Refar to Other Agency 08-Not Valid 09-Foodborn? Illness <br /> Circle appropriate Unit 9 if complaint in another PROGRAM. jurisdiction, Have Complaint Record ar.d P/E updated <br /> Forwarded to UNIT,'. L'/ 11 III IV for Investigation <br />