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Date run: 10/05l99R SAN JOA( UIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : CAROLD Page # 1 <br /> COPY # : 01 of 01 COMPLAINT INVESTIGATION (DEPORT <br /> MNIMMMMMLvJNIMMMMNIMNINfMMNJhfMNINIMNIMMMMNfNIMMNIMMMMNIMMMMMMN}NJNINIMMMMMMMMMhJMMMMNIhINIhlN1NINlhJhll�JMMMIrJM <br /> COMPLAINT # : C0013074 grogram/Element : 31ae0" / <br /> Taken by : 5366 LINEBAUGH Date: 1 5 9 Assigned to 5366 LINEBAUGH Date: 10/05/99 <br /> Hard copy Printed: 7 <br /> Facility Name; ............ ac ID: i <br /> BILL to inventoried FACILITY: <br /> Location: 3009.,_..S.,.__POC.K.....-LN (Must have FACILITY IO#) <br /> Complainant: <br /> Address: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code_ : <br /> ........................Y........................................._...._..._._..............................._.........................................._.......___..._..,.............__........................... <br /> Address : 3009.....a,..-PocK._._LN........................................ ........................._........................................................B05. Dist : <br /> City: ST-0CKTCN, 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 /> OPEN , UNSECURED SFD AND BASEMENT . <br /> COMPLAINT Info <br /> COMPLAINT MODE: P PHONE <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: <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 06-Not 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: C.;U II III IV for Investigation <br />