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TnAJJJIN <br /> _ _. _ L �77'. . . Report #5104 <br /> Run 1,,,, CAR0LC`1( Page # 13 <br /> C., # • ?1 f ``�� -OMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0008722 Program/Element 1600 <br /> Taken by : 9051 OSULLIVAN Date: 08/01!97 Assigned to 0843 COLLINS Date: 08/01/97 <br /> Hard copy Printed: 08/04/97 <br /> Facility Name . SUBWAY SANDWICH Fac ID ' 00246.5 <br /> _.__ _ <br /> BILL to inventoried FACILITY: <br /> Location: 67e N_...... WILSON WAY ., STOCKTON. !Must have FACILITY IDA? <br /> nt <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name - Loc Code : <br /> Address - BOS Dist <br /> .. ...................._...._......_............................__......_...._............................................................................... <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 /> There is a vector problem at the referenced address . <br /> IX" ���in� <br /> COMPLAINT Info — <br /> ATNT MODE' D PHONE <br /> A-Agency Referral 9-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <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-Qefer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> i- .e rit �)y ' Date* <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> IIuIT Q II III IV for Investigation <br />