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Date run: 11/12/,97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : KARE Page # 3 <br /> Copy # : 01 01, 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0009312 Program/Element :. 4200 <br /> Taken by : 3304 ARMSTRONG hate: 11/12/97 Assigned to 0001 TURKATTB Date: 11/12/87 <br /> Hard copy Printed: ' 0 <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 20801 S. WOODWARD ROAD (!lust have FACILITY IDI) <br /> Complainant : JANET HEUPEL Home Phone: 209-825-0362 <br /> Address : Work Phone: - <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Loc Code : <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 /> THE MANAGER OF THE MOBILEHOME PARK IS DEFECATING OUTSIDE. THE MANAGER <br /> RESIDES AT #75 AND HIS NAME IS TONY GONZALES . <br /> COMPLAINT Info SRIG <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral- B-09 OF Supervisors/City Ccouneil C-Counter M-Mail/Correspondence <br /> 0-Other BH Unit ?-Phone <br /> COMPLAINT STATUS: 0 <br /> 01-Field Abaled 02-Office Abai d 03-NAl Se X04-Notice to Abate Issued 05-Enforce ACT initiated <br /> 06-Transfer to Premise File 07- a er o Other Agency 09-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/B updated <br /> forwarded to UNIT: 1 it III IV for Investigation <br /> _. _. 1: .-:�.— �--.,�—_.may. �.-- —._ ��.ic �__..�..ti.- � _ ,.-,._._..w�... •� <br />