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Date run: 04/27/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 J <br /> Run by SYLVIA Page # 19 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMM..MMMMMMMMMMMMMMMMMMMMMM.MMMMMMMMMMMMMM.MMM14.MMMMMMMMMMP4MMMMMMMMMMFfa!MMM14 <br /> COMPLAINTT # : CO0O1749 Program/Element : 2546 <br /> Taken by 014f2 WILLIAM SNAVELY Date: 04/25/94 Assigned to : 0142 WILLIAM SNAVELY Date: 04/25/94 <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: CORRAL• HOLLOW CANYON ROAD (Must have FACILITY ID#) <br /> <br /> <br /> FACILITY LOCATION/Property. Info - <br /> DBA or Name: Loc Code 99 <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 /> ILLEGAL DMPING WAS OBSERVED AND CA.LIC#W18904 WAS TAKEN BY MR.WALKER <br /> (ow) <br /> CONPLATNT Info - <br /> COMPLAINT MODE: O OTHER EH UNIT <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: U2 <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> O6-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> i <br /> Forwarded to UNIT: I II III IV for Investigation <br />