Laserfiche WebLink
1 <br /> Date run: 03/27/97 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARYO // 0 Page # 2 <br /> COPY # : 01 -of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0007945 Program/Element : 160U_ <br /> Taken by : 6519 CAROL DISH Date: 03/26/97 Assigned to 0843 MICHAEL COLLINS Date: 03/26/97 <br /> Hard copy Printed: <br /> Facility Name: Fac ID= <br /> / BILL to inventoried FACILITY: <br /> Location: 67.8.,...N.......__W_ILSON..._WRY...._..._.98.....CENT...._STORI� (Must have FACILITY ID#) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info <br /> DBA or Name: ...L._Oc Code <br /> 6 <br /> Address: BOS Dist <br /> City: APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name: . _. . Home Phone: <br /> Address: _...:._............_ Work Phone: <br /> City <br /> Nature of Complaint: <br /> PESTICIDES NEXT TO FOOD PRODUCTS . ON SAME SHELF . <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 /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Q . <br /> 01-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 087Not 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: 0 11 III IV for Investigation <br />